Healthcare Provider Details

I. General information

NPI: 1518211960
Provider Name (Legal Business Name): MRS. LAUREN E SKOLNICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2012
Last Update Date: 04/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUSTAVE L LEVY PLACE BOX 1252 - MOUNT SINAI HOSPITAL
NEW YORK NY
10029-6574
US

IV. Provider business mailing address

1 GUSTAVE L LEVY PLACE BOX 1252 - MOUNT SINAI HOSPITAL
NEW YORK NY
10029-6574
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-6132
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number087222-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: