Provider Demographics
NPI:1538563804
Name:SNYDER, AMBER (CST/CSFA)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:CST/CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 WARREN AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-2647
Mailing Address - Country:US
Mailing Address - Phone:570-320-7577
Mailing Address - Fax:570-320-7576
Practice Address - Street 1:1705 WARREN AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-2647
Practice Address - Country:US
Practice Address - Phone:570-320-7577
Practice Address - Fax:570-320-7576
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA152255246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant