Organization
MICHAEL J SKONIECZNY DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SKONIECZNY DPM (OWNER)
(914) 474-4638
Entity
Organization
Contact information
Practice address
1200 WATERS PL, SUITE M101, BRONX, NY 10461-2728
(718) 863-0244
(718) 863-0246
Mailing address
237 COLUMBUS AVE, APT 2A, PORT CHESTER, NY 10573-2534
(914) 474-4638
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006630-1
NY
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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