Provider Demographics
NPI:1114371556
Name:SCHNEIDER, KATHERINE (MS ED)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED
Mailing Address - Street 1:234 DAISY FARMS DR
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-6702
Mailing Address - Country:US
Mailing Address - Phone:646-319-4101
Mailing Address - Fax:
Practice Address - Street 1:340 E 105TH ST APT 5F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-5083
Practice Address - Country:US
Practice Address - Phone:646-319-4101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-22
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY932099975OtherGHI