Provider Demographics
NPI:1639435910
Name:SNYDER, LAURA COX (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:COX
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 E 79TH STREET
Mailing Address - Street 2:SUITE 4R
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:11222-2263
Mailing Address - Country:US
Mailing Address - Phone:917-687-5409
Mailing Address - Fax:
Practice Address - Street 1:58 E 79TH ST
Practice Address - Street 2:SUITE 4R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0221
Practice Address - Country:US
Practice Address - Phone:917-687-5409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0758231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical