Provider Demographics
NPI:1588637862
Name:SCHULSTER, RITA (MD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:
Last Name:SCHULSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 E WAUKENA AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-4540
Mailing Address - Country:US
Mailing Address - Phone:516-599-8234
Mailing Address - Fax:516-678-9126
Practice Address - Street 1:442 E WAUKENA AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-4540
Practice Address - Country:US
Practice Address - Phone:516-599-8234
Practice Address - Fax:516-678-9126
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112127174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00834542Medicaid
NY00834542Medicaid
NY02D101Medicare PIN