Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 187590 | NY |
NPI | 1255355244 |
---|---|
Provider Name | Nicholas Thomas Skipitaris |
First Address | New York, NY 10075-1850 |
Second Address | New York, NY 10075-1850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 01/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G51234 | (02) | NY |