Individual
DR. LIUDMILA A SKUDNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 TARGEE ST APT 4T, STATEN ISLAND, NY 10304-4472
(917) 349-0933
Mailing address
1000 TARGEE ST APT 4T, STATEN ISLAND, NY 10304-4472
(917) 349-0933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2868871
NY
208M00000X
Hospitalist Physician
286887
NY
Other
Enumeration date
04/01/2013
Last updated
03/22/2022
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