Individual
LISA SIMONETTA SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,FNP-C
Contact information
Practice address
134 HOMER AVE, CORTLAND, NY 13045-1206
(607) 756-3561
(607) 428-5142
Mailing address
134 HOMER AVE, PO BOX 628, CORTLAND, NY 13045-1206
(607) 756-3561
(607) 428-5142
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
F3322590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02057216
—
NY
Enumeration date
11/02/2005
Last updated
03/11/2021
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