Provider Demographics
NPI:1124343363
Name:SCHUSSLER, EDITH (MD)
Entity type:Individual
Prefix:DR
First Name:EDITH
Middle Name:
Last Name:SCHUSSLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 W 112TH ST APT 6D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-3553
Mailing Address - Country:US
Mailing Address - Phone:646-470-5747
Mailing Address - Fax:646-777-1794
Practice Address - Street 1:1440 YORK AVE OFC P10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-2577
Practice Address - Country:US
Practice Address - Phone:646-470-5747
Practice Address - Fax:646-777-1794
Is Sole Proprietor?:No
Enumeration Date:2010-03-31
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267393-01207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology