Provider Demographics
NPI:1316962475
Name:SCHNEIDER, JENNIFER G (OT, CHT)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:G
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:OT, CHT
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACUPUNCTURIST
Mailing Address - Street 1:1 HUGH HILL LN
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-2040
Mailing Address - Country:US
Mailing Address - Phone:914-478-1019
Mailing Address - Fax:
Practice Address - Street 1:1 HUGH HILL LN
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533
Practice Address - Country:US
Practice Address - Phone:914-588-1975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006321-1171100000X
NY0071661-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY006321-1OtherACUPUNCTURIST
NY0071661-1OtherNY STATE LISCENCE NUMBER
NY0071661-1OtherOCCUPATIONAL THERAPY, CERTIFIED HAND THERAPIST