Provider Demographics
NPI:1437422045
Name:SCHNEIDER GENERALIZED MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:SCHNEIDER GENERALIZED MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-326-8426
Mailing Address - Street 1:16 E 60TH ST
Mailing Address - Street 2:SUITE 322
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1096
Mailing Address - Country:US
Mailing Address - Phone:212-326-8426
Mailing Address - Fax:212-326-8725
Practice Address - Street 1:16 E 60TH ST
Practice Address - Street 2:SUITE 322
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1096
Practice Address - Country:US
Practice Address - Phone:212-326-8426
Practice Address - Fax:212-326-8725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3602261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3602OtherAAAASF, INC.