Individual
ADAM SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 562-6000
Mailing address
3109 42ND ST, ASTORIA, NY 11103-3142
(314) 650-5348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018970
NY
Other
Enumeration date
09/13/2015
Last updated
02/10/2022
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