Provider Demographics
NPI:1114669710
Name:SKRINE, CARMEN (RN)
Entity Type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:
Last Name:SKRINE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 W VALLEY STREAM BLVD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-6200
Mailing Address - Country:US
Mailing Address - Phone:516-998-5056
Mailing Address - Fax:
Practice Address - Street 1:64 W VALLEY STREAM BLVD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-6200
Practice Address - Country:US
Practice Address - Phone:516-998-5056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY821769163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse