Provider Demographics
NPI:1215142492
Name:DAVID S SCHNAPP MD PC
Entity type:Organization
Organization Name:DAVID S SCHNAPP MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CIATTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-479-5017
Mailing Address - Street 1:20811 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-1711
Mailing Address - Country:US
Mailing Address - Phone:718-479-5017
Mailing Address - Fax:718-479-3146
Practice Address - Street 1:20811 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-1711
Practice Address - Country:US
Practice Address - Phone:718-479-5017
Practice Address - Fax:718-479-3146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01639174Medicaid
NY01639174Medicaid
NY1215142492Medicare PIN