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General NPI Number Information
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NPI Number | 1265630263
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Entity Type | Organization
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Legal Business Name | DAVID SZUSTER PSYCHIATRY P.C.
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 3712 82ND ST SUITE 232
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7032
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Country | US
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Telephone | 718-396-6766
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Fax | 718-396-6645
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Provider Business Mailing Address
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Address Line | 11 STATION RD
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City | GREAT NECK
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State | NY
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Zip | 11023-2417
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Country | US
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Telephone | 718-396-6676
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Fax | 718-396-6645
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DAVID SZUSTER
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Credential | MD
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Telephone | 718-396-6676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 200687
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License Number State | NY
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