Healthcare Provider Details

I. General information

NPI: 1700727559
Provider Name (Legal Business Name): DANIEL SNYDER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HIGH ST
BUFFALO NY
14203-1126
US

IV. Provider business mailing address

2846 FIX RD
GRAND ISLAND NY
14072-2440
US

V. Phone/Fax

Practice location:
  • Phone: 716-859-3107
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number061705
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: