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Individual

DR. JACK SKOWRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1050 CLOVE RD, STATEN ISLAND, NY 10301-3627
(718) 816-6440
(718) 816-3739
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150345
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00716990
NY
Enumeration date
03/24/2006
Last updated
09/26/2025
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