Individual
LEAH SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 PROSPECT AVE, SUITE 800, HACKENSACK, NJ 07601-1997
(201) 343-6676
(201) 343-6689
Mailing address
690 N BROADWAY, GL1, N WHITE PLAINS, NY 10603-2417
(914) 428-3651
(914) 428-2948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00573600
NJ
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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