Provider Demographics
NPI:1144322801
Name:SNADY, HARRY (MD PHD, FACG)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:
Last Name:SNADY
Suffix:
Gender:M
Credentials:MD PHD, FACG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 EAST 88TH STREET
Mailing Address - Street 2:ADMINISTRATIVE AND PRIMARY OFFICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-831-0700
Mailing Address - Fax:212-410-6093
Practice Address - Street 1:5600 KENNEDY BLVD W
Practice Address - Street 2:SUITE 103
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-1256
Practice Address - Country:US
Practice Address - Phone:201-902-9500
Practice Address - Fax:201-902-9502
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135601-1207RG0100X
NJ25MA03842900207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJB79709Medicare UPIN
NY86A731Medicare UPIN
NJ009075Medicare ID - Type Unspecified