Skodnek, Kenneth
Skodnek, Kenneth is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke Medical Staff Office Box 42, East Meadow NY 11554-1859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Skodnek, Kenneth can be contacted via phone (516) 572-6511.Contact Information
Primary practice address
2201 Hempstead Tpke Medical Staff Office Box 42
East Meadow NY 11554-1859
Phone: (516) 572-6511
Fax: (516) 572-3210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 104630 | New York |
Profile Details
| NPI number | 1609843473 |
|---|---|
| LBN Legal business name | Skodnek, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Apr 14th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609843473 | NPPES |
| New York | MEDICAID | 00512827 |
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