Healthcare Provider Details

I. General information

NPI: 1841201837
Provider Name (Legal Business Name): CYNTHIA SKOVRINSKI FNPC MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA SKOVRINSKI TAAFFE

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

293 W NORTH ST
GENEVA NY
14456-1530
US

IV. Provider business mailing address

209 WEST LAKE ROAD
PENN YAN NY
14527
US

V. Phone/Fax

Practice location:
  • Phone: 315-789-0993
  • Fax: 315-789-0281
Mailing address:
  • Phone: 315-536-9418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF3324701
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: