Provider Demographics
NPI:1871683656
Name:SCHUSTER, STEPHEN (MD)
Entity type:Individual
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First Name:STEPHEN
Middle Name:
Last Name:SCHUSTER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:122 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1711
Mailing Address - Country:US
Mailing Address - Phone:516-239-2278
Mailing Address - Fax:516-239-2278
Practice Address - Street 1:8340 WOODHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385
Practice Address - Country:US
Practice Address - Phone:718-849-8700
Practice Address - Fax:718-701-6712
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2018-08-16
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Provider Licenses
StateLicense IDTaxonomies
NY103202207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY76048Medicare PIN