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NPI Code Detail

MEDICARE: DR. MICHAEL SNYDER MD

MEDICARE: DR. MICHAEL SNYDER MD
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
12080P0202XPediatric Cardiology Physician029942CT
22080P0202XPediatric Cardiology Physician143309NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124091269
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL SNYDER MD
Provider Business Mailing Address
First Line : 800 WESTCHESTER AVE STE N715
Second Line :
City : RYE BROOK
State : NY
Zip : 10573-1369
Country : US
Telephone Number : 914-607-5730
Fax Number : 914-457-1195
Provider Business Practice Location Address
First Line : 73 MARKET ST
Second Line :
City : YONKERS
State : NY
Zip : 10710-7616
Country : US
Telephone Number : 914-305-2725
Fax Number : 914-607-6241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 04/18/2023

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