Healthcare Provider Details

I. General information

NPI: 1366304776
Provider Name (Legal Business Name): CURRAN SKOGLUND
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 TERRACE AVE
SUFFERN NY
10901-6849
US

IV. Provider business mailing address

28 TERRACE AVE
SUFFERN NY
10901-6849
US

V. Phone/Fax

Practice location:
  • Phone: 914-705-2068
  • Fax:
Mailing address:
  • Phone: 914-705-2068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: