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NPI Code Detail

MEDICARE: ALICIA SKOWRONSKI

MEDICARE:   ALICIA  SKOWRONSKI
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
1164W00000XLicensed Practical Nurse310843NY

General Provider Information

NPI Number : 1780046201
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA SKOWRONSKI
Provider Business Mailing Address
First Line : 30 FIRST AVE
Second Line :
City : MONROE
State : NY
Zip : 10950-2060
Country : US
Telephone Number : 845-492-6046
Fax Number :
Provider Business Practice Location Address
First Line : 30 FIRST AVE
Second Line :
City : MONROE
State : NY
Zip : 10950-2060
Country : US
Telephone Number : 845-492-6046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2016
Last Update Date : 03/23/2016

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Directions to “ ALICIA SKOWRONSKI ” Practice Location

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