MEDICARE: DR. CAREY SKORSKI DC

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	111N00000X	Chiropractor	X008188	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	113419397	OTHER	NY	TAX IDENTIFICATION

General Provider Information

NPI Number	:	1467537043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAREY SKORSKI DC

Provider Business Mailing Address
First Line	:	140 87TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-4916
Country	:	US
Telephone Number	:	718-745-8331
Fax Number	:	718-745-8395

Provider Business Practice Location Address
First Line	:	140 87TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-4916
Country	:	US
Telephone Number	:	718-745-8331
Fax Number	:	718-745-8395

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. CAREY SKORSKI DC” Practice Location

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