Individual
DR. DANIEL SCHLUSSELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6243 WOODHAVEN BLVD, REGO PARK, NY 11374-3731
(718) 507-4700
(718) 397-0422
Mailing address
105 SHELLEY CIR, MONSEY, NY 10952-1444
(845) 362-0408
(845) 362-6773
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
144156
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01744912
—
NY
Enumeration date
02/24/2006
Last updated
05/04/2009
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