Provider Demographics
NPI:1740418961
Name:SHNAYDER, GARRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARRY
Middle Name:
Last Name:SHNAYDER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 AVENUE Z
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3808
Mailing Address - Country:US
Mailing Address - Phone:718-395-4700
Mailing Address - Fax:718-395-5006
Practice Address - Street 1:1512 AVENUE Z
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3808
Practice Address - Country:US
Practice Address - Phone:718-395-4700
Practice Address - Fax:718-395-5006
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2016-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0553451223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery