Provider Demographics
NPI:1831396704
Name:CHUSID, REBECCA LINDSAY (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LINDSAY
Last Name:CHUSID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:911 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0385
Mailing Address - Country:US
Mailing Address - Phone:212-772-7242
Mailing Address - Fax:
Practice Address - Street 1:833 NORTHERN BLVD STE 130
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5308
Practice Address - Country:US
Practice Address - Phone:516-482-8040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255154207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology