Provider Demographics
NPI:1588645972
Name:SNYDER, BETH LYNNE (PT)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:LYNNE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:BETH
Other - Middle Name:LYNNE
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:68 RED HAWK HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-6240
Mailing Address - Country:US
Mailing Address - Phone:845-462-7672
Mailing Address - Fax:845-297-8596
Practice Address - Street 1:2 DELAVERGNE AVE
Practice Address - Street 2:C/O CENTER FOR PHYSICAL THERAPY
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-1202
Practice Address - Country:US
Practice Address - Phone:845-297-4789
Practice Address - Fax:845-297-8596
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009853225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
83397OtherOPERATING ENGRS LCL 825
437214OtherMVP
7359471OtherAETNA PPO
1359230OtherUNITED HEALTH CARE
819559OtherMANAGED PHYSICAL NETWORK
3096308OtherAETNA HMO
5162115OtherCCN
650015382OtherRAILROAD MEDICARE
DUS060OtherOXFORD