Provider Demographics
NPI:1760576086
Name:SCHUSTER, ELIOT P (MD)
Entity Type:Individual
Prefix:
First Name:ELIOT
Middle Name:P
Last Name:SCHUSTER
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 1:135 EASTERN PKWY
Mailing Address - Street 2:SUITE 1H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-6054
Mailing Address - Country:US
Mailing Address - Phone:718-857-2975
Mailing Address - Fax:718-857-2974
Practice Address - Street 1:135 EASTERN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-6054
Practice Address - Country:US
Practice Address - Phone:718-857-2975
Practice Address - Fax:718-857-2974
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214361207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8Y9641Medicare PIN