Healthcare Provider Details

I. General information

NPI: 1245209360
Provider Name (Legal Business Name): CARLOTTA LIEF SCHUSTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 E 30TH ST #1
NEW YORK NY
10016
US

IV. Provider business mailing address

130 E 30TH ST #1
NEW YORK NY
10016
US

V. Phone/Fax

Practice location:
  • Phone: 212-213-2513
  • Fax: 212-213-2267
Mailing address:
  • Phone: 212-213-2513
  • Fax: 212-213-2267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number094956
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number094956
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: