Provider Demographics
NPI:1730202862
Name:SNISKY, PAUL VICTOR (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:VICTOR
Last Name:SNISKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 MEADOWLARK RD
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1221
Mailing Address - Country:US
Mailing Address - Phone:914-933-0333
Mailing Address - Fax:
Practice Address - Street 1:800 CENTRAL AVENUE
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583
Practice Address - Country:US
Practice Address - Phone:914-723-0808
Practice Address - Fax:914-723-0618
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0448811223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics