Individual
KENNETH LESLIE SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 FIRST AVE, SUITE 3C, NEW YORK CITY, NY 10016
(212) 263-7165
(212) 263-8490
Mailing address
530 FIRST AVE, SUITE 3C, NEW YORK CITY, NY 10016
(212) 263-7165
(212) 263-8490
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
141216
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01D881
BC/BS
NY
Enumeration date
03/09/2006
Last updated
01/23/2013
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