Provider Demographics
NPI:1518223973
Name:SKEENE, LINELL DE-SILVA (MD)
Entity Type:Individual
Prefix:
First Name:LINELL
Middle Name:DE-SILVA
Last Name:SKEENE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 DUNHILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2248
Mailing Address - Country:US
Mailing Address - Phone:516-817-2287
Mailing Address - Fax:
Practice Address - Street 1:25 DUNHILL RD
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2248
Practice Address - Country:US
Practice Address - Phone:516-817-2287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY100064207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine