Provider Demographics
NPI:1922121938
Name:SHUSTER, ROBIN HANNAH (PHARMD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:HANNAH
Last Name:SHUSTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 PARIS RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2341
Mailing Address - Country:US
Mailing Address - Phone:410-375-8048
Mailing Address - Fax:
Practice Address - Street 1:125 BROOKLEY RD BLDG 510
Practice Address - Street 2:ROOM 1123
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13441-4301
Practice Address - Country:US
Practice Address - Phone:315-334-7100
Practice Address - Fax:315-334-7171
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17712183500000X
NY054755-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist