Skrodzki, Renee Sophie

Skrodzki, Renee Sophie is an individual health care provider with primary practice located at 291 W Main St , Smithtown NY 11787-2608. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Skrodzki, Renee Sophie can be contacted via phone (631) 979-4666.

Contact Information

Primary practice address
291 W Main St Smithtown NY 11787-2608
Phone: (631) 979-4666
Fax: (631) 979-4676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 050659-1 New York

Profile Details

NPI number 1417134800
LBN Legal business name Skrodzki, Renee Sophie
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Jan 28th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417134800 NPPES
New York MEDICAID 02087410

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