Doctor Name: | ILONA SNYDER |
NPI Number: | 1205181914 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 337287 |
Business Practice Address: | 2524 Route 9w Ravena, NY - 124132804 |
Business Phone Number: | 5187567390 |
Business Fax Number: | 5187568030 |
Mailing Address: | 2524 Route 9w, RAVENA |
State: | NY |
Postal Code: | 124132804 |
Phone Number: | 5187567390 |
Fax Number: | 5187568030 |
NPI Enumeration Date: | 07/18/2012 |
NPI Last Update Date: | 03/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 337287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |