MEDICARE: MR. URI F SCHNEIDER MA, CCC-SLP

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	235Z00000X	Speech-Language Pathologist	0166461	NY

General Provider Information

NPI Number	:	1417319872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. URI F SCHNEIDER MA, CCC-SLP

Provider Business Mailing Address
First Line	:	1111 MAGNOLIA RD
Second Line	:
City	:	TEANECK
State	:	NJ
Zip	:	07666-2745
Country	:	US
Telephone Number	:	347-673-1620
Fax Number	:

Provider Business Practice Location Address
First Line	:	14149 70TH RD
Second Line	:	SCHNEIDER
City	:	KEW GARDENS HILLS
State	:	NY
Zip	:	11367-1936
Country	:	US
Telephone Number	:	347-673-1620
Fax Number	:

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

Provider Enumeration Date	:	03/24/2016
Last Update Date	:	03/24/2016

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Directions to “ MR. URI F SCHNEIDER MA, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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