Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 230081 | NY |
N | 207VX0000X | Obstetrician | 230081 | NY |
NPI | 1356329403 |
---|---|
Provider Name | Yevgeniy Schuster |
First Address | Brooklyn, NY 11235-1554 |
Second Address | Brooklyn, NY 11229-1507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2006 |
Last Update Date | 18/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02656742 | (05) | NY |
I36328 | (02) | NY |