Healthcare Provider Details

I. General information

NPI: 1730130048
Provider Name (Legal Business Name): DAVID H. SNYDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 10/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 E 78TH ST
NEW YORK NY
10075-0406
US

IV. Provider business mailing address

162 E 78TH ST
NEW YORK NY
10075-0406
US

V. Phone/Fax

Practice location:
  • Phone: 212-794-2281
  • Fax: 212-517-9551
Mailing address:
  • Phone: 212-794-2281
  • Fax: 212-517-9551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number116473
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: