Individual
CHERYL SKAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 624-3314
Mailing address
21 HEATHER DR, KINGS PARK, NY 11754-1207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22689216
NY
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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