Provider Demographics
NPI:1437286358
Name:SCHNUR, MARK JAY (OD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:JAY
Last Name:SCHNUR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:2763 MAE CT
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5335
Mailing Address - Country:US
Mailing Address - Phone:516-679-2687
Mailing Address - Fax:516-681-2410
Practice Address - Street 1:328 N BROADWAY
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-2011
Practice Address - Country:US
Practice Address - Phone:516-681-2020
Practice Address - Fax:516-681-2410
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY4865152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist