Dr. Justin Schussheim, D.D.S.
Dentist, General Practice in Flushing, NY. Individual provider (NPI-1).
NPI number1073803003
StatusActive
Last updated in NPPESJul 15, 2013
Details
- NPI
- 1073803003
- Entity type
- Individual (NPI-1)
- Name
- Dr. Justin Schussheim
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2011
- Last updated
- Jul 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 056152 | NY | Yes |
Practice location
13804 Jewel Ave Apt 2bFlushing, NY 11367-1952
Phone 516-509-4732
Mailing address
13804 Jewel Ave Apt 2bFlushing, NY 11367-1952
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