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NPI Code Detail

MEDICARE: BENJAMIN SNYDER

MEDICARE: BENJAMIN SNYDER
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
1163WP2201XAmbulatory Care Registered Nurse692436-1NY

General Provider Information

NPI Number : 1396142626
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN SNYDER
Provider Business Mailing Address
First Line : 293 UPPER FALLS BLVD
Second Line :
City : ROCHESTER
State : NY
Zip : 14605-2184
Country : US
Telephone Number : 585-922-0225
Fax Number : 585-922-0230
Provider Business Practice Location Address
First Line : 293 UPPER FALLS BLVD
Second Line :
City : ROCHESTER
State : NY
Zip : 14605-2184
Country : US
Telephone Number : 585-922-0225
Fax Number : 585-922-0230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2014
Last Update Date : 12/02/2014

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