Basic Information
| Provider Information | |||||||||
| NPI: | 1275782567 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SKRANOVSKI | ||||||||
| FirstName: | WLODEK | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 1231 | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10276 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182061990 | ||||||||
| FaxNumber: | 7182060051 | ||||||||
| Practice Location | |||||||||
| Address1: | 27-19 33 STREET | ||||||||
| Address2: | BRIDGE PLAZA/ARBOR WE CARE | ||||||||
| City: | LONG ISLAND CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187863921 | ||||||||
| FaxNumber: | 7182060051 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2008 | ||||||||
| LastUpdateDate: | 01/20/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | L194472 | NY | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.