MEDICARE: KENDRA SCHUST

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	225X00000X	Occupational Therapist	011100	NY

General Provider Information

NPI Number	:	1518679935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRA SCHUST

Provider Business Mailing Address
First Line	:	700 COUNTY ROUTE 1
Second Line	:
City	:	PINE ISLAND
State	:	NY
Zip	:	10969-1717
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 COUNTY ROUTE 1
Second Line	:
City	:	PINE ISLAND
State	:	NY
Zip	:	10969-1717
Country	:	US
Telephone Number	:	845-772-1436
Fax Number	:

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

Provider Enumeration Date	:	12/16/2022
Last Update Date	:	12/16/2022

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Directions to “ KENDRA SCHUST ” Practice Location

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