Provider Demographics
NPI:1396386132
Name:LITTLE BUDDIES CHILD NEUROLOGY PLLC
Entity Type:Organization
Organization Name:LITTLE BUDDIES CHILD NEUROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:YULIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-542-9272
Mailing Address - Street 1:1655 ELMWOOD AVE STE 222
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-3426
Mailing Address - Country:US
Mailing Address - Phone:585-542-9272
Mailing Address - Fax:
Practice Address - Street 1:1655 ELMWOOD AVE STE 222
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3426
Practice Address - Country:US
Practice Address - Phone:585-542-9272
Practice Address - Fax:585-360-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty