Provider Demographics
NPI:1942683305
Name:SCHULGASSER, AVRAHAM (PA)
Entity Type:Individual
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First Name:AVRAHAM
Middle Name:
Last Name:SCHULGASSER
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Gender:M
Credentials:PA
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Mailing Address - Street 1:507 AIRPORT EXECUTIVE PARK
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-5238
Mailing Address - Country:US
Mailing Address - Phone:845-262-5315
Mailing Address - Fax:845-262-5315
Practice Address - Street 1:301 E 17TH ST
Practice Address - Street 2:SUITE 1402
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3804
Practice Address - Country:US
Practice Address - Phone:212-598-3889
Practice Address - Fax:212-598-6015
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2017-06-26
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Provider Licenses
StateLicense IDTaxonomies
NY018727363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant