Provider Demographics
NPI:1083721245
Name:SZUSTER, DAVID (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SZUSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 STATION RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-2417
Mailing Address - Country:US
Mailing Address - Phone:718-396-6766
Mailing Address - Fax:718-396-6645
Practice Address - Street 1:3712 82ND ST STE 232
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7032
Practice Address - Country:US
Practice Address - Phone:718-396-6766
Practice Address - Fax:718-396-6645
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2006872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01871414Medicaid
NY111200OtherVALUEOPTIONS
NY98P3871OtherNY PRESBYTERIAN HEALTHPLA
NYM0900POtherHIP PRIS NUMBER
NY340644OtherMHN GROUP #
NYP1009365OtherOXFORD
NY340644OtherMHN GROUP #