Individual
ILYA SHNEYDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
953 49TH ST, BROOKLYN, NY 11219-2923
(718) 510-2557
(718) 283-6621
Mailing address
953 49TH ST, DEPARTMENT OF NEPHROLOGY ROOM #611, BROOKLYN, NY 11219-2923
(718) 510-2557
(718) 283-6621
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
214315
NY
207RN0300X
Nephrology Physician
ME81790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02150714
—
NY
Enumeration date
09/22/2005
Last updated
02/12/2014
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