=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760826143
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SCHNEIDER LAW GROUP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/29/2013
-----------------------------------------------------
Last Update Date | 04/29/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 150 BROADWAY SUITE 900
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10038
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-804-8400
-----------------------------------------------------
Fax | 212-913-9718
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 150 BROADWAY RM 900
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10038-4348
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-804-8400
-----------------------------------------------------
Fax | 212-913-9718
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ATTORNEY
-----------------------------------------------------
Name | MR. WILLIAM SCHNEIDER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 212-804-8400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 385H00000X
-----------------------------------------------------
Taxonomy Name | Respite Care
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------