Healthcare Provider Details

I. General information

NPI: 1760367387
Provider Name (Legal Business Name): SYDNEY SNYDER LMSW
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 EGGERT RD STE 1
BUFFALO NY
14226-2063
US

IV. Provider business mailing address

54 CHAMBERLIN DR
BUFFALO NY
14210-2612
US

V. Phone/Fax

Practice location:
  • Phone: 716-204-5311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: