Individual
EDWARD SKWIERSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 GLEN ST, SUITE 200, GLEN COVE, NY 11542-2854
(516) 484-7893
(516) 484-5054
Mailing address
70 GLEN STREET, SUITE 200, GLEN COVE, NY 11542-2854
(516) 484-7893
(516) 484-5054
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
155082
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1050760
—
NY
Enumeration date
09/06/2005
Last updated
02/19/2008
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