Provider Demographics
NPI:1497843197
Name:SCHNEIDER, MARCIE BETH (MD)
Entity type:Individual
Prefix:DR
First Name:MARCIE
Middle Name:BETH
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-1622
Mailing Address - Country:US
Mailing Address - Phone:914-693-3479
Mailing Address - Fax:
Practice Address - Street 1:239 GLENVILLE RD
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-4172
Practice Address - Country:US
Practice Address - Phone:203-532-1919
Practice Address - Fax:203-532-1518
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0376482080A0000X
NY1610652080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine