Most Relevant Information
Provider Data
| NPI Number: | 1003372020 |
| Provider Name: | SARINA ALIZA SHUSTER |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 023782 |
Most Important Dates
| Enumeration Date: | 02/14/2019 |
| Last Updated: | 08/02/2019 |
Provider Practice Location
22 RUPERT AVE
STATEN ISLAND
NY
103145034
Practice Location Phone/Fax
| Phone: | 9175028705 |
| Fax: |
Provider Mailing Location
22 RUPERT AVE
STATEN ISLAND
NY
103145034
Provider Mailing Phone/Fax
| Phone: | 9175028705 |
| Fax: |