MEDICARE: MRS. TERESA M. SNYDER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	306892	NY

General Provider Information

NPI Number	:	1033513411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERESA M. SNYDER NP

Provider Business Mailing Address
First Line	:	6091 MEADOW LAKES DR
Second Line	:
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-2005
Country	:	US
Telephone Number	:	716-741-3280
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 COLVIN BLVD
Second Line	:
City	:	TONAWANDA
State	:	NY
Zip	:	14223-1440
Country	:	US
Telephone Number	:	716-874-4060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2014
Last Update Date	:	12/07/2023

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