Snyder, Lisa Simonetta

Snyder, Lisa Simonetta is an individual health care provider with primary practice located at 134 Homer Ave , Cortland NY 13045-1206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Snyder, Lisa Simonetta can be contacted via phone (607) 756-3561.

Contact Information

Primary practice address
134 Homer Ave Cortland NY 13045-1206
Phone: (607) 756-3561
Fax: (607) 428-5142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X F3322590 New York

Profile Details

NPI number 1265423743
LBN Legal business name Snyder, Lisa Simonetta
Credentials RN,MSN,FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 11th, 2021 - about 3 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 1265423743 NPPES
New York MEDICAID 02057216

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