Provider Demographics
NPI:1407119126
Name:SKRINE, LOUCINA ANGELINA (MS SPEC ED)
Entity Type:Individual
Prefix:MS
First Name:LOUCINA
Middle Name:ANGELINA
Last Name:SKRINE
Suffix:
Gender:F
Credentials:MS SPEC ED
Other - Prefix:MS
Other - First Name:LOUCINA
Other - Middle Name:ANGELINA
Other - Last Name:FERDINAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS SPECED
Mailing Address - Street 1:3416 FARRAGUT RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2741
Mailing Address - Country:US
Mailing Address - Phone:347-249-7512
Mailing Address - Fax:718-434-5669
Practice Address - Street 1:3416 FARRAGUT RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-2741
Practice Address - Country:US
Practice Address - Phone:347-249-7512
Practice Address - Fax:718-434-5669
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY964413001174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist