Healthcare Provider Details

I. General information

NPI: 1396803920
Provider Name (Legal Business Name): FRANCESCA N SKOLAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 PELHAM PKWY SOUTH AHRC HEALTH CARE
BRONX NY
10461
US

IV. Provider business mailing address

1500 PELHAM PKWY SOUTH AHRC HEALTH CARE
BRONX NY
10461
US

V. Phone/Fax

Practice location:
  • Phone: 718-730-1004
  • Fax: 718-892-6469
Mailing address:
  • Phone: 718-730-1004
  • Fax: 718-892-6469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number190064
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: