| Owen B Schneider Md Llc | |
|
5 Spanish Cove Rd Larchmont NY 10538-3815 | |
| (914) 834-8251 | |
| (914) 834-8563 |
| Full Name | Owen B Schneider Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5 Spanish Cove Rd, Larchmont, New York |
| Authorized Official Name and Position | Owen B Schneider (PRESIDENT) |
| Authorized Official Contact | 9148348251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Owen B Schneider Md Llc 5 Spanish Cove Rd Larchmont NY 10538-3815 Ph: (914) 834-8251 | Owen B Schneider Md Llc 5 Spanish Cove Rd Larchmont NY 10538-3815 Ph: (914) 834-8251 |
| NPI Number | 1740428747 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 9638568793 |
|---|---|
| Medicare Enrollment ID | O20231116002202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740428747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MD 1089961 (New York) | Primary |
| Provider Name | Owen Bennet Schneider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184798852 PECOS PAC ID: 3173613353 Enrollment ID: I20231116002601 |
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