Provider Demographics
NPI:1912339060
Name:SCHNOOR, DIANNE M
Entity Type:Individual
Prefix:MRS
First Name:DIANNE
Middle Name:M
Last Name:SCHNOOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:563 TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY SOUTH
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5320
Mailing Address - Country:US
Mailing Address - Phone:516-565-1470
Mailing Address - Fax:
Practice Address - Street 1:563 TERRACE AVE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY SOUTH
Practice Address - State:NY
Practice Address - Zip Code:11530-5320
Practice Address - Country:US
Practice Address - Phone:516-565-1470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039367-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist