Provider Demographics
NPI:1497809784
Name:SCHLUSSEL, RICHARD (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:SCHLUSSEL
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 1:247 ROUTE 100
Mailing Address - Street 2:SUITE 1002
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-3231
Mailing Address - Country:US
Mailing Address - Phone:914-962-8290
Mailing Address - Fax:914-962-8851
Practice Address - Street 1:150 WHITE PLAINS RD
Practice Address - Street 2:SUITE 306
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5535
Practice Address - Country:US
Practice Address - Phone:914-493-8628
Practice Address - Fax:914-493-8564
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1723152088P0231X, 174400000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No174400000XOther Service ProvidersSpecialist
No208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY32R313OtherBCBS 96TH
NY3C51416OtherHEALTHNET
NY32R312OtherBCBS HIP
NY001527893Medicaid
NY1302466OtherUNHC
NY7090888OtherCIGNA
NYNS3587OtherOXFORD
NY1000399OtherGHI CBP
NY144319POtherHIP
NY510881OtherAETNA
NY32R313OtherBCBS 96TH
NY1302466OtherUNHC