Individual
MRS. MICHELLE SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 562-6000
Mailing address
2 CAXTON ST, MELVILLE, NY 11747-1605
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
312340
NY
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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