Basic Information
| Provider Information | |||||||||
| NPI: | 1245312826 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SNYDER | ||||||||
| FirstName: | KATHRYN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 40 SAW MILL RIVER RD STE LL-4 | ||||||||
| Address2: | |||||||||
| City: | HAWTHORNE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105321535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9145938850 | ||||||||
| FaxNumber: | 9145938833 | ||||||||
| Practice Location | |||||||||
| Address1: | 40 SAW MILL RIVER RD STE LL-4 | ||||||||
| Address2: | |||||||||
| City: | HAWTHORNE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105321535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9145938850 | ||||||||
| FaxNumber: | 9145938833 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2006 | ||||||||
| LastUpdateDate: | 06/23/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 239819 | NY | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.