Provider Demographics
NPI:1235724022
Name:SCHUSTER, BRITTNEY LEE (LAC)
Entity Type:Individual
Prefix:MS
First Name:BRITTNEY
Middle Name:LEE
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 LISA CT
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-1577
Mailing Address - Country:US
Mailing Address - Phone:631-514-9380
Mailing Address - Fax:
Practice Address - Street 1:1041 ROUTE 112
Practice Address - Street 2:THREE ROADS PLAZA
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776
Practice Address - Country:US
Practice Address - Phone:631-828-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171100000X
NY006902171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty