Healthcare Provider Details

I. General information

NPI: 1811155625
Provider Name (Legal Business Name): YULIYA SNYDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 02/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 ELMWOOD AVE STE 222
ROCHESTER NY
14620-3429
US

IV. Provider business mailing address

1655 ELMWOOD AVE STE 222
ROCHESTER NY
14620-3429
US

V. Phone/Fax

Practice location:
  • Phone: 585-542-9272
  • Fax: 585-360-2026
Mailing address:
  • Phone: 585-542-9272
  • Fax: 585-360-2026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number269551
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: