Provider Demographics
NPI:1598025660
Name:SCHNEIDERMAN, AARON IRA (PHD, RN)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:IRA
Last Name:SCHNEIDERMAN
Suffix:
Gender:M
Credentials:PHD, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 VERMONT AVE NW
Mailing Address - Street 2:10P3A
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20420
Mailing Address - Country:US
Mailing Address - Phone:202-266-4695
Mailing Address - Fax:202-495-5973
Practice Address - Street 1:810 VERMONT AVE NW # 10P3A
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20420-0001
Practice Address - Country:US
Practice Address - Phone:202-266-4695
Practice Address - Fax:202-495-5973
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR104445163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse