Provider Demographics
NPI:1144212184
Name:SCHUESSLER, DONALD C JR (MD FAAP)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:C
Last Name:SCHUESSLER
Suffix:JR
Gender:M
Credentials:MD FAAP
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Mailing Address - Street 1:77 W BARNEY ST
Mailing Address - Street 2:PHYSICIAN BLDG SUITE C
Mailing Address - City:GOUVERNEUR
Mailing Address - State:NY
Mailing Address - Zip Code:13642-1040
Mailing Address - Country:US
Mailing Address - Phone:315-287-4440
Mailing Address - Fax:315-287-1858
Practice Address - Street 1:77 W BARNEY ST
Practice Address - Street 2:PHYSICIAN BUILDING SUITE C
Practice Address - City:GOUVERNEUR
Practice Address - State:NY
Practice Address - Zip Code:13642-1040
Practice Address - Country:US
Practice Address - Phone:315-287-4440
Practice Address - Fax:315-287-1858
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY156955-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00839721Medicaid
NYD78439Medicare ID - Type Unspecified