Individual
ANDREW EDWARD SKODOL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1051 RIVERSIDE DR, BOX 129, NEW YORK, NY 10032-1007
(212) 543-6247
Mailing address
20 ELLIOT RD, GREAT NECK, NY 11021-1520
(516) 487-4314
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
112809
NY
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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