1285903252 NPI number — MS. PERIN G. SCHNEIDER MSEDCCCSLP

Table of content: MS. PERIN G. SCHNEIDER MSEDCCCSLP (NPI 1285903252)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285903252 NPI number — MS. PERIN G. SCHNEIDER MSEDCCCSLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHNEIDER
Provider First Name:
PERIN
Provider Middle Name:
G.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSEDCCCSLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHNEIDER
Provider Other First Name:
PERIN
Provider Other Middle Name:
GARCIA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSEDCCCSLP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285903252
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11 ROSEMARIE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAHOPAC
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10541-2932
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-628-8716
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11 ROSEMARIE LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAHOPAC
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10541-2932
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-628-8716
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/21/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  58008983 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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