MEDICARE: LYNN E SCHNEIDER 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	F304339	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F304339	OTHER	NY	LICENSE NUMBER

General Provider Information

NPI Number	:	1558371344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN E SCHNEIDER NP

Provider Business Mailing Address
First Line	:	210 CORNELIA ST
Second Line	:	SUITE 202
City	:	PLATTSBURGH
State	:	NY
Zip	:	12901-2318
Country	:	US
Telephone Number	:	518-563-6348
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 CORNELIA ST
Second Line	:	SUITE 202
City	:	PLATTSBURGH
State	:	NY
Zip	:	12901-2318
Country	:	US
Telephone Number	:	518-563-6348
Fax Number	:

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	07/08/2007

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