Healthcare Provider Details

I. General information

NPI: 1154747079
Provider Name (Legal Business Name): PAMELA SYLVIA SKOWRONSKI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2014
Last Update Date: 02/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E 98TH ST 7TH FLOOR
NEW YORK NY
10029
US

IV. Provider business mailing address

5 EAST 98TH STREET 7TH FLOOR, BOX 1139
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-7076
  • Fax: 212-241-2542
Mailing address:
  • Phone: 212-241-7076
  • Fax: 212-241-2542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number672647
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF307216
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: