Organization
JEFFREY SCHNELLER DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALAN SCHNELLER D.P.M., P.C. (PRESIDENT)
(718) 672-8266
Entity
Organization
Contact information
Practice address
4555 43RD ST, SUNNYSIDE, NY 11104-2609
(718) 729-1952
(718) 706-0170
Mailing address
4555 43RD ST, SUNNYSIDE, NY 11104-2609
(718) 729-1952
(718) 706-0170
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004139-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00966610
—
NY
Enumeration date
07/27/2012
Last updated
09/24/2012
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