MEDICARE: ELENA SKERYS

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
1	163W00000X	Registered Nurse	87259901	NY

General Provider Information

NPI Number	:	1053012765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA SKERYS

Provider Business Mailing Address
First Line	:	48 LONG BEACH LN
Second Line	:
City	:	SAG HARBOR
State	:	NY
Zip	:	11963-2346
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	48 LONG BEACH LN
Second Line	:
City	:	SAG HARBOR
State	:	NY
Zip	:	11963-2346
Country	:	US
Telephone Number	:	631-603-2753
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2023
Last Update Date	:	03/10/2023

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Directions to “ ELENA SKERYS ” Practice Location

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