Provider Demographics
NPI:1639453319
Name:SKARBO, ESFIR (RN)
Entity Type:Individual
Prefix:MRS
First Name:ESFIR
Middle Name:
Last Name:SKARBO
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 1:1137 63RD ST APT B8
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5239
Mailing Address - Country:US
Mailing Address - Phone:917-968-3912
Mailing Address - Fax:
Practice Address - Street 1:420 LEXINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10170
Practice Address - Country:US
Practice Address - Phone:212-916-0840
Practice Address - Fax:212-876-6162
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY487541163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse