Provider Demographics
NPI:1912942624
Name:SHNAYDMAN, EDUARD (DO)
Entity Type:Individual
Prefix:DR
First Name:EDUARD
Middle Name:
Last Name:SHNAYDMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 KEARNY DR
Mailing Address - Street 2:
Mailing Address - City:N WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3626
Mailing Address - Country:US
Mailing Address - Phone:516-791-0627
Mailing Address - Fax:718-424-1954
Practice Address - Street 1:3457 82ND ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-2930
Practice Address - Country:US
Practice Address - Phone:718-424-2457
Practice Address - Fax:718-424-1954
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ008043207Q00000X
NY222391207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH47794Medicare UPIN
NY05829GMedicare PIN