Provider Demographics
NPI:1548689094
Name:SCHNEIDER, ANTHONY (RN)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 SANFORD ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-2209
Mailing Address - Country:US
Mailing Address - Phone:585-813-1683
Mailing Address - Fax:
Practice Address - Street 1:126 SANFORD ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2209
Practice Address - Country:US
Practice Address - Phone:585-813-1683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY515435-1163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice