Provider Demographics
NPI:1437215274
Name:SNYDER, STEPHEN HOYT (PHD)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:HOYT
Last Name:SNYDER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 8TH AVE
Mailing Address - Street 2:APT 4D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2620
Mailing Address - Country:US
Mailing Address - Phone:718-768-0874
Mailing Address - Fax:
Practice Address - Street 1:300 CENTRAL PARK WEST
Practice Address - Street 2:SUITE 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:212-874-0552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010517103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
0105172OtherHIP
0105173OtherHIP
NY01503617Medicaid
079442OtherVALUE OPTIONS
P2484484OtherOXFORD
NY01503617Medicaid
0105172OtherHIP