Snedeker, Jeffrey David

Snedeker, Jeffrey David is an individual health care provider with primary practice located at 10 Graham Rd W , Ithaca NY 14850-1055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Snedeker, Jeffrey David can be contacted via phone (607) 257-2188.

Contact Information

Primary practice address
10 Graham Rd W Ithaca NY 14850-1055
Fax: (607) 266-7341
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 198429 New York
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 198429 New York

Profile Details

NPI number 1619959582
LBN Legal business name Snedeker, Jeffrey David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Sep 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619959582 NPPES
Other 000910784001 HEALTHNOW
Other 161010811 HEALTHNOW
Other 4602871 HEALTHNOW
Other 5623 HEALTHNOW
Other V018315 HEALTHNOW
MEDICAID 01545582 HEALTHNOW
Other 161010811 HEALTHNOW

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