Provider Demographics
NPI:1013369081
Name:SKALA, CARA
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:
Last Name:SKALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 ROUTE 210
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-1738
Mailing Address - Country:US
Mailing Address - Phone:845-596-7476
Mailing Address - Fax:
Practice Address - Street 1:124 ROUTE 210
Practice Address - Street 2:
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-1738
Practice Address - Country:US
Practice Address - Phone:845-596-7476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-01
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist