Provider Demographics
NPI:1144349846
Name:TUSHMAN, STEVEN L (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:TUSHMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:L
Other - Last Name:TUSHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:3 WALWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1417
Mailing Address - Country:US
Mailing Address - Phone:914-723-4915
Mailing Address - Fax:212-262-3565
Practice Address - Street 1:1350 AVENUE OF THE AMERICAS
Practice Address - Street 2:SUTE 2708
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-4702
Practice Address - Country:US
Practice Address - Phone:212-246-4420
Practice Address - Fax:212-262-3565
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0291281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice