MEDICARE: DEBORAH D SCHUSS PHD

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
1	103T00000X	Psychologist	014286	NY

General Provider Information

NPI Number	:	1467477760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH D SCHUSS PHD

Provider Business Mailing Address
First Line	:	448 ARLINGTON RD
Second Line	:
City	:	CEDARHURST
State	:	NY
Zip	:	11516-1206
Country	:	US
Telephone Number	:	516-569-7988
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 GROVE AVE STE 111
Second Line	:
City	:	CEDARHURST
State	:	NY
Zip	:	11516-2302
Country	:	US
Telephone Number	:	516-569-7988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/23/2007

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