Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 240130 | NY |
N | 208600000X | Surgeon | 240130 | NY |
Y | 2086X0206X | Surgical Oncologist | 240130 | NY |
NPI | 1417995960 |
---|---|
Provider Name | Joseph Skitzki |
First Address | Buffalo, NY 14263-0001 |
Second Address | Buffalo, NY 14263-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 10/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02760290 | (05) | NY |