Provider Demographics
NPI:1386747350
Name:SCHNEIDER, FREDRIC (EDD)
Entity type:Individual
Prefix:DR
First Name:FREDRIC
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 WEST 93RD STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-662-7006
Mailing Address - Fax:
Practice Address - Street 1:240 EAST 59TH STREET
Practice Address - Street 2:MANHATTAN MENTAL HEALTH SERVICE GHP HEALTH INSURANCE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-421-0473
Practice Address - Fax:212-644-9803
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005758103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent