Individual
NYESHIA SKIPWITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 TITMUS DR, MASTIC, NY 11950-2011
(631) 448-1933
Mailing address
37 TITMUS DR, MASTIC, NY 11950-2011
(631) 448-1933
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
3206801
NY
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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