Bryan S Snyder
Individual provider Active NPI Counselor · Cuba, NY
NPI 1174091334 · NPPES record last updated Nov 6, 2018
Key facts
- NPI
- 1174091334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 36 Water St
Cuba, NY 14727-1023 - Phone
- (585) 500-5810
- NPI assigned
- Nov 6, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
36 Water St
Cuba, NY 14727-1023
Mailing address
36 Water St
Cuba, NY 14727-1023
Phone (585) 500-5810
NPI Registry JSON
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1174091334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 WATER ST",
"city": "CUBA",
"state": "NY",
"postal_code": "147271023",
"telephone_number": "585-500-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WATER ST",
"city": "CUBA",
"state": "NY",
"postal_code": "147271023",
"telephone_number": "585-500-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "BRYAN",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-06",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cuba, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.