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NPI Code Detail

MEDICARE: EDUARD SKLYAR M.D.

MEDICARE: EDUARD SKLYAR M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA08408500NJ
2207RC0001XClinical Cardiac Electrophysiology Physician230935MA
3207R00000XInternal Medicine Physician238565-1NY
4207RC0000XCardiovascular Disease Physician238565NY
5207RC0000XCardiovascular Disease Physician25MA08408500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013050400
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDUARD SKLYAR M.D.
Provider Business Mailing Address
First Line : 1650 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10457-7679
Country : US
Telephone Number : 718-518-5222
Fax Number :
Provider Business Practice Location Address
First Line : 1650 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10457-7679
Country : US
Telephone Number : 718-518-5222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 02/16/2024

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