Individual
DR. JASON L SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1231 DEER PARK AVE, NORTH BABYLON, NY 11703-3104
(631) 667-0388
(631) 968-7705
Mailing address
1231 DEER PARK AVE, NORTH BABYLON, NY 11703-3104
(631) 667-0388
(631) 277-3750
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
192283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01580872
—
NY
01
—
192283
LICENSE
NY
Enumeration date
07/03/2006
Last updated
08/26/2019
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