Healthcare Provider Details

I. General information

NPI: 1336361021
Provider Name (Legal Business Name): LIAT SIMKHAY SNYDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LIAT SIMKHAY MD

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 04/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 CENTRAL PARK AVE
YONKERS NY
10704-1044
US

IV. Provider business mailing address

1010 CENTRAL PARK AVE
YONKERS NY
10704-1044
US

V. Phone/Fax

Practice location:
  • Phone: 914-964-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA96496
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number276814
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: