| Doctor Name: | DR. JASON CHARLES SNYDER |
| NPI Number: | 1003106444 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 006497 |
| Business Practice Address: | 1050 Clove Rd Staten Island, NY - 103013627 |
| Business Phone Number: | 7188166440 |
| Business Fax Number: | 7184202704 |
| Mailing Address: | 2791 Richmond Ave, Ste 201 STATEN ISLAND |
| State: | NY |
| Postal Code: | 103145882 |
| Phone Number: | 7188166440 |
| Fax Number: | 7184202704 |
| NPI Enumeration Date: | 04/18/2011 |
| NPI Last Update Date: | 01/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 006497 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |