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Individual

LELAND JAY SNAIDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1898 SPRING RD SE, SMYRNA, GA 30080-2559
(516) 996-0048
Mailing address
150 E 69TH ST, NEW YORK, NY 10021-5704
(516) 996-0048

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2332245
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
387886545
LICENSE
NY
Enumeration date
01/12/2020
Last updated
04/09/2023
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