DR. LIUDMILA A SKUDNOV (NPI# 1861735656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861735656 |
| Entity Type | Individual |
| Full Name | DR. LIUDMILA A SKUDNOV |
| Credential | DO |
| Practice Address |
1000 Targee St Apt 4t Staten Island NY 10304-4472 |
| Practice Telephone | 9173490933 |
| Mailing Telephone | 9173490933 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2868871 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1000 TARGEE ST APT 4T |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-4472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1083137970 | Dian Patricia Grandison | Family Medicine | 25 Beekman St, Staten Island, NY 10302-2006 | 2017-07-21 |
| 1184092314 | Girgis Md Pllc | Family Medicine | 1332a Rockland Ave, Staten Island, NY 10314-4944 | 2015-09-03 |
| 1790163996 | Tamara Anna Marie Saukin Md PC | Family Medicine | 1920 Richmond Rd, Staten Island, NY 10306-2551 | 2015-05-08 |
| 1629474283 | Rani Medical, PC | Family Medicine | 3350 Victory Blvd, Unit #a, Staten Island, NY 10314-6700 | 2014-11-10 |
| 1952664351 | Biana Volfinzon | Family Medicine | 187 Arbutus Ave, Staten Island, NY 10312-4500 | 2012-06-20 |
| 1548534324 | Ming Yeung Chung | Family Medicine | 56 Jenna Ln, Staten Island, NY 10304-1322 | 2012-02-27 |
| 1619110707 | Joaquin C Gutierrez Jr. | Family Medicine | 124 Getz Ave, Staten Island, NY 10312-2114 | 2009-04-20 |
| 1588823025 | Zoya Koroleva | Family Medicine | 11 Ralph Pl Ste 112, Staten Island, NY 10304-4408 | 2008-06-09 |
| 1891963476 | Penfel Health Medical PC | Family Medicine | 59 Lindenwood Rd, Staten Island, NY 10308-2737 | 2008-02-15 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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| 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.