EDVARD SKRIPOCHNIK


Address: 100 Nicolls Rd, Stony Brook, NY 11794-8191
Phone: 6314441791

EDVARD SKRIPOCHNIK (NPI# 1902291289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902291289
Entity Type Individual
Full Name EDVARD SKRIPOCHNIK
Practice Address 100 Nicolls Rd
Stony Brook
NY 11794-8191
Practice Telephone 6314441791
Practice Fax Number 6314447689
Mailing Telephone 6314441791
Mailing Fax Number 6314447689
Enumeration Date 2015-04-02
Last Update Date 2020-06-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
304085 NY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 100 NICOLLS RD
City STONY BROOK
State NY
Zip Code 11794-8191

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356335640 Laura J Monahan Pediatrics 100 Nicolls Rd, Level 11, Suite 040, Stony Brook, NY 11794-8111 2005-09-01
1386250447 Farhana Zahan Nurse Practitioner 100 Nicolls Rd, Stony Brook, NY 11794-3627 2020-09-23
1003433509 Joseph Anthony Poppa Physician Assistant 100 Nicolls Rd, Stony Brook, NY 11794-3112 2020-06-30
1861027393 Joshua Nuval Student in an Organized Health Care Education/Training Program 100 Nicolls Rd, Stony Brook, NY 11794-0001 2020-03-04
1548894306 Matthew Messick Student in an Organized Health Care Education/Training Program 100 Nicolls Rd, Stony Brook, NY 11794-0001 2020-03-02
1386278133 Savannah Peters Student in an Organized Health Care Education/Training Program 100 Nicolls Rd, Stony Brook, NY 11794-4140 2020-03-01
1750915252 Hannah Skylar Palau Student in an Organized Health Care Education/Training Program 100 Nicolls Rd, Stony Brook, NY 11794-0001 2020-02-24
1609412741 Thomas Banks Physician Assistant 100 Nicolls Rd, Stony Brook, NY 11790-3407 2019-11-25
1164079802 Jimmy K Master Psychologist 100 Nicolls Rd, Stony Brook, NY 11794-0001 2019-08-19
1083278972 Sara Khan Student in an Organized Health Care Education/Training Program 100 Nicolls Rd, Stony Brook, NY 11794-0001 2019-04-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619506714 Ryan John Kottmeier Physician Assistant 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 2020-04-02
1699302109 Michael Trentalange Student in an Organized Health Care Education/Training Program Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 2020-03-25
1164985156 Lauren Kate Harris Student in an Organized Health Care Education/Training Program Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 2019-04-08
1851851448 Kathy Tin Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 2019-03-21
1174083703 Arham Khan Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 2019-03-20
1396221982 Aman Bhojani Student in an Organized Health Care Education/Training Program Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 2018-07-17
1699265629 Belliny Phaeton Student in an Organized Health Care Education/Training Program Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-15
1629568969 Rachel Herold Student in an Organized Health Care Education/Training Program Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-11
1598254419 Nora Ann Diraimondo Nurse Practitioner Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 2018-05-07
1386140705 Ryan Christopher Corn Student in an Organized Health Care Education/Training Program Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 2018-04-04
Find all providers in zip 11794

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598109449 Lucyna Zofia Price Surgery Health Science Tower, Stony Brook, NY 11794-7708 2013-04-22
1629339312 Jing Li Surgery Stony Brook Surgical Associates, Ufpc Sbumc, 100 Nicolls Rd, Hsc Level 19, Rm 090, Stony Brook, NY 11794 2012-05-30
1083907836 Justin Margolis Surgery Department of Surgery, Health Sciences Center T19-090, Stony Brook, NY 11794-8191 2011-05-25
1720307002 Nicholas Sikalas Surgery Stony Brook University Hospital, Health Sciences Tower,level 19, Rm090, Stony Brook, NY 11790 2010-05-25
1922242114 Angela Amalia Kokkosis Surgery Stony Brook Hospital, Hsc T19-090, Stony Brook, NY 11794-0001 2009-05-01
1023037934 Cheng H Lo Surgery University Hospital, L5, Stony Brook, NY 11794 2006-07-19
1073555884 Apostolos Tassiopoulos Surgery University Hospital, L5, Stony Brook, NY 11794-0001 2006-06-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962003509 Gs Medical, P.C. Surgery 377-b Pearsall Ave, Cedarhurst, NY 11516 2020-11-02
1073128971 New York Vascular Group, Pllc Surgery 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 2020-09-09
1578190179 Camilo Jose Martinez Surgery 23 S Howell Ave Ste H, Centereach, NY 11720-4445 2020-03-24
1407483399 Interventional Medicine Surgery 1122a Coney Island Ave, Brooklyn, NY 11230-2307 2020-03-23
1487287975 Syracuse Professional Medical Services of New York LLC Surgery 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 2020-02-13
1457983181 Syracuse Medical of New York LLC Surgery 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 2020-02-11
1366914483 Star Veins Centers PC Surgery 225 W 35th St Frnt 2, New York, NY 10001-1904 2018-12-31
1528547312 Norwood Professional Medical Services of New York LLC Surgery 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 2018-08-13
1336628130 Norwood Medical of New York LLC Surgery 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 2018-08-13
1003393299 Bushwick Professional Medical Services of New York LLC Surgery 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 2018-07-20
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Competitor

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City STONY BROOK
Zip Code 11794

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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