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Individual

ISAAC SHUSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
225 BROADWAY STE 101, NEW YORK, NY 10007-3914
(718) 490-1498
Mailing address
225 BROADWAY STE 101, NEW YORK, NY 10007-3911
(718) 490-1497

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063165-01
NY

Other

Enumeration date
05/26/2022
Last updated
03/22/2024
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