Healthcare Provider Details

I. General information

NPI: 1275455032
Provider Name (Legal Business Name): SKILLED PROFESSIONAL STAFFING AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

754 PEEKSKILL ST
ELMONT NY
11003-4916
US

IV. Provider business mailing address

754 PEEKSKILL ST
ELMONT NY
11003-4916
US

V. Phone/Fax

Practice location:
  • Phone: 347-852-8115
  • Fax:
Mailing address:
  • Phone: 347-852-8115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA Y BYFIELD-MCINTOSH
Title or Position: OWNER
Credential: RN-BSN
Phone: 347-852-8115