Provider Demographics
NPI:1114525854
Name:SCHNEIDERMAN, EDELINE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:EDELINE
Middle Name:
Last Name:SCHNEIDERMAN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5430 NETHERLAND AVE APT C51
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2540
Mailing Address - Country:US
Mailing Address - Phone:347-964-5878
Mailing Address - Fax:
Practice Address - Street 1:5430 NETHERLAND AVE APT C51
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-2540
Practice Address - Country:US
Practice Address - Phone:718-991-6349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6210431163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse