Provider Demographics
NPI:1477676161
Name:SHNEIDER, NEIL ALAN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ALAN
Last Name:SHNEIDER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 W 168TH STREET, BOX 31
Mailing Address - Street 2:P&S BUILDING, ROOM 5-423
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3725
Mailing Address - Country:US
Mailing Address - Phone:212-342-3107
Mailing Address - Fax:212-342-3109
Practice Address - Street 1:710 W 168TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3726
Practice Address - Country:US
Practice Address - Phone:212-342-3107
Practice Address - Fax:212-342-3109
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2111812084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology