Individual
CASEY SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 HIGHLAND DRIVE, GAINES, PA 16921
(585) 406-6114
Mailing address
136 HIGHLAND DRIVE, GAINES, PA 16921
(585) 406-6114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
9261062
NY
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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