Individual
SKYLAR R DE VITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
Mailing address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(033) 372-6002
(203) 337-2611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005307
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2021
Last updated
11/03/2025
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