Jack Skowron
MD | Pediatrics | Male
Jack Skowron, MD is a Staten Island, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jack Skowron is
1050 Clove Rd, Staten Island, New York - 10301-3627. He can be contacted on phone at
718-816-6440 and fax number 718-816-3739.
Jack Skowron is a sole proprietor of his business.
NPI number (Unique professional ID) for Jack Skowron is
1285694240 which was assigned by NPPES on 24 Mar, 2006 and it was last updated on 30 Sep, 2019.
Jack Skowron license number is
150345 for Pediatrics (208000000X) in New York.
Jack Skowron is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jack Skowron basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jack Skowron |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jack Skowron address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1050 Clove Rd
Staten Island, NY, 10301-3627
United States |
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| Phone Number : | 718-816-6440 |
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| Fax Number : | 718-816-3739 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285694240 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Mar, 2006 |
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| Last Updated On : | 30 Sep, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Skowron are as mentioned. Primary taxonomy code for Jack Skowron, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 150345 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Jack Skowron such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00716990 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 55 Water St, 2nd Floor Cred Dept
New York, NY, 10041-0004
United States |
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| Phone Number : | 646-680-2888 |
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| Fax Number : | 516-542-5556 |
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Business Location:
Patients can refer following map for directions to
Jack Skowron practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.