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Individual

BRIAN D SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2365 UNION RD, CHEEKTOWAGA, NY 14227-2234
(716) 668-8100
Mailing address
2875 UNION RD, SUITE 8, CHEEKTOWAGA, NY 14227-1465
(716) 651-0911
(716) 651-9855

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
177885
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010169502
UNIVERA
NY
01
000510713004
BC/BS
NY
05
01131951
NY
01
040511000490
FIDELIS
NY
01
0409764
IHA
NY
01
151113BJ
PREFERRED CARE
NY
Enumeration date
10/17/2005
Last updated
07/23/2014
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