Organization
JUSTIN SCHUSSHEIM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN SCHUSHEIM DDS (PRESIDENT)
(516) 509-4732
Entity
Organization
Contact information
Practice address
71 TODT HILL RD, SUITE 203, STATEN ISLAND, NY 10314-4510
(718) 816-8102
(718) 816-0769
Mailing address
71 TODT HILL RD, SUITE 203, STATEN ISLAND, NY 10314-4510
(718) 816-8102
(718) 816-0769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056152
NY
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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