SAULIUS J SKEIVYS MD PC NPI 1912191917

NPI Information

SAULIUS J SKEIVYS MD PC is a primary care clinic center in Woodside, NY. SAULIUS J SKEIVYS MD PC NPI is 1912191917. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Woodside Family Health Center.

The provider's business location address is:

5718 WOODSIDE AVENUE
WOODSIDE, NY
ZIP 11377-444
Phone: (718) 639-3600
Fax: (718) 397-8049

The provider's authorized official is Saulius J Skeivys .
The authorized official title is President and has the following contact phone number (718) 639-3600.

The CLIA number assigned to this NPI record is 33D1012749 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/2/2007 and was last updated on 5/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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