Individual
KENNETH SKODNEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 HEMPSTEAD TPKE, MEDICAL STAFF OFFICE BOX 42, EAST MEADOW, NY 11554-1859
(516) 572-6511
(516) 572-3210
Mailing address
2201 HEMPSTEAD TPKE, MEDICAL STAFF OFFICE BOX 42, EAST MEADOW, NY 11554-1859
(516) 572-6511
(516) 572-3210
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
104630
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00512827
—
NY
Enumeration date
03/01/2006
Last updated
04/14/2008
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