Basic Information
| Provider Information | |||||||||
| NPI: | 1760425235 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SNYDER | ||||||||
| FirstName: | MARSHA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 60 PRESIDENTIAL PLZ APT 1406 | ||||||||
| Address2: | |||||||||
| City: | SYRACUSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 132022444 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3154226469 | ||||||||
| FaxNumber: | 3154226469 | ||||||||
| Practice Location | |||||||||
| Address1: | 5615 YORK RD | ||||||||
| Address2: | |||||||||
| City: | NEW OXFORD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 173509553 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176241337 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2006 | ||||||||
| LastUpdateDate: | 04/22/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 11641 | NH | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | D28074 | MD | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 150641-1 | NY | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD040021E | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.