Healthcare Provider Details

I. General information

NPI: 1669384244
Provider Name (Legal Business Name): SKYLAR MARIE WRIGHT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 ROUTE 146 STE 700
CLIFTON PARK NY
12065-3662
US

IV. Provider business mailing address

939 ROUTE 146 STE 700
CLIFTON PARK NY
12065-3662
US

V. Phone/Fax

Practice location:
  • Phone: 518-383-0891
  • Fax: 518-383-1662
Mailing address:
  • Phone: 518-383-0891
  • Fax: 518-383-1662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: