Provider Demographics
NPI:1770853442
Name:SCHNEIDERMAN, P.C.
Entity Type:Organization
Organization Name:SCHNEIDERMAN, P.C.
Other - Org Name:DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:BART
Authorized Official - Middle Name:ALLYN
Authorized Official - Last Name:SCHNEIDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-653-7886
Mailing Address - Street 1:PO BOX 6436
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-0436
Mailing Address - Country:US
Mailing Address - Phone:201-653-7886
Mailing Address - Fax:201-653-2266
Practice Address - Street 1:895 BERGEN AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-4309
Practice Address - Country:US
Practice Address - Phone:201-653-7886
Practice Address - Fax:201-653-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty