Provider Demographics
NPI:1932269677
Name:SNYDER, ANDREA MADELINE (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:MADELINE
Last Name:SNYDER
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 1:17 TODD HILL CIRCLE
Mailing Address - Street 2:
Mailing Address - City:GOLDENS BRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10526
Mailing Address - Country:US
Mailing Address - Phone:914-232-6439
Mailing Address - Fax:
Practice Address - Street 1:17 TODD HILL CIR
Practice Address - Street 2:
Practice Address - City:GOLDENS BRIDGE
Practice Address - State:NY
Practice Address - Zip Code:10526-1203
Practice Address - Country:US
Practice Address - Phone:914-232-6439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1890752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry