Provider Demographics
NPI:1932756277
Name:SCHUSTER, MELISSA GOLDMAN (MS, RDN, CDN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:GOLDMAN
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:MS, RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W 72ND ST APT 7F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2765
Mailing Address - Country:US
Mailing Address - Phone:917-685-2328
Mailing Address - Fax:
Practice Address - Street 1:201 W 72ND ST APT 7F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2765
Practice Address - Country:US
Practice Address - Phone:917-685-2328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86103612133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered