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General NPI Number Information
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NPI Number | 1982020962
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Entity Type | Individual
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Provider Name | SAMUEL SCHUSTER DDS
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Gender | Male
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 7037 VLEIGH PL
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City | FLUSHING
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State | NY
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Zip | 11367-2013
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Country | US
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Telephone | 845-558-2124
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Fax |
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Provider Business Mailing Address
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Address Line | 70-37 VLEIGH PLACE
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City | FLUSHING
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State | NY
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Zip | 11367-1927
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Country | US
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Telephone | 845-558-2124
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0579501
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License Number State | NY
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