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NPI Code Detail

MEDICARE: DR. HARVEY LAWRENCE SHUSTER DDS

MEDICARE:  DR. HARVEY LAWRENCE SHUSTER  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)031130NY

General Provider Information

NPI Number : 1427096635
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HARVEY LAWRENCE SHUSTER DDS
Provider Business Mailing Address
First Line : 90 S RIDGE ST
Second Line : SUITE LL-12
City : RYE BROOK
State : NY
Zip : 10573-2867
Country : US
Telephone Number : 914-935-9009
Fax Number : 914-935-0737
Provider Business Practice Location Address
First Line : 90 S RIDGE ST
Second Line : SUITE LL-12
City : RYE BROOK
State : NY
Zip : 10573-2867
Country : US
Telephone Number : 914-935-9009
Fax Number : 914-935-0737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. HARVEY LAWRENCE SHUSTER DDS” Practice Location

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