Healthcare Provider Details

I. General information

NPI: 1497809784
Provider Name (Legal Business Name): RICHARD SCHLUSSEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 WHITE PLAINS RD SUITE 306
TARRYTOWN NY
10591-5535
US

IV. Provider business mailing address

247 ROUTE 100 SUITE 1002
SOMERS NY
10589-3231
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-8628
  • Fax: 914-493-8564
Mailing address:
  • Phone: 914-962-8290
  • Fax: 914-962-8851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number172315
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number172315
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License Number172315
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: