Individual
ELENA SKOMOROVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(212) 423-6466
Mailing address
1901 1ST AVE, NEW YORK, NY 10029-7404
(212) 423-6466
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA10205500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2012
Last updated
07/24/2019
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