# MICHAEL J SKONIECZNY DPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538554571
- **Authorized official:** MICHAEL SKONIECZNY DPM (OWNER)
- **Authorized official phone:** (914) 474-4638

## Contact information

- **Practice address:** 1200 WATERS PL, SUITE M101, BRONX, NY 10461-2728
- **Practice address phone:** (718) 863-0244
- **Practice address fax:** (718) 863-0246
- **Mailing address:** 237 COLUMBUS AVE, APT 2A, PORT CHESTER, NY 10573-2534
- **Mailing address phone:** (914) 474-4638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 006630-1 | NY | Yes |

## Other

- **Enumeration date:** 04/06/2015
- **Last updated:** 04/06/2015