Provider Demographics
NPI:1972533305
Name:SCHNEIDER, STEVEN (DC,PC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:DC,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 JERICHO TPKE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4501
Mailing Address - Country:US
Mailing Address - Phone:516-364-3382
Mailing Address - Fax:516-364-3485
Practice Address - Street 1:175 JERICHO TPKE
Practice Address - Street 2:SUITE 102
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4532
Practice Address - Country:US
Practice Address - Phone:516-364-3382
Practice Address - Fax:516-364-3485
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX2544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX17591Medicare PIN
NYT52322Medicare UPIN