Provider Demographics
NPI:1417086620
Name:SCHYLINSKI, KATHRYN J (RN NP)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:J
Last Name:SCHYLINSKI
Suffix:
Gender:F
Credentials:RN NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 FRANKLIN ST
Mailing Address - Street 2:P.O. BOX 483
Mailing Address - City:SKANEATELES
Mailing Address - State:NY
Mailing Address - Zip Code:13152-9409
Mailing Address - Country:US
Mailing Address - Phone:315-685-8702
Mailing Address - Fax:
Practice Address - Street 1:796 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:SKANEATELES
Practice Address - State:NY
Practice Address - Zip Code:13152-9409
Practice Address - Country:US
Practice Address - Phone:315-685-8702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330879-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
S27647Medicare UPIN