Provider Demographics
NPI:1154747079
Name:SKOWRONSKI, PAMELA SYLVIA (NP)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:SYLVIA
Last Name:SKOWRONSKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 EAST 98TH STREET
Mailing Address - Street 2:7TH FLOOR, BOX 1139
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-7076
Mailing Address - Fax:212-241-2542
Practice Address - Street 1:5 E 98TH ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-7076
Practice Address - Fax:212-241-2542
Is Sole Proprietor?:No
Enumeration Date:2014-03-17
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY672647163W00000X
NYF307216363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse