Healthcare Provider Details

I. General information

NPI: 1902952609
Provider Name (Legal Business Name): KARI ANN SCHNEIDER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 PROSPECT AVE
HUDSON NY
12534-2907
US

IV. Provider business mailing address

449 ROUTE 146 STE 101
HALFMOON NY
12065-3239
US

V. Phone/Fax

Practice location:
  • Phone: 518-822-8484
  • Fax:
Mailing address:
  • Phone: 518-373-3924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041-298871
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209-005022
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number311127
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: