Provider Demographics
NPI:1821080011
Name:SKALSKI, JAMES G (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:SKALSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3884 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-1104
Mailing Address - Country:US
Mailing Address - Phone:716-683-7160
Mailing Address - Fax:716-683-7161
Practice Address - Street 1:3884 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-1104
Practice Address - Country:US
Practice Address - Phone:716-683-7160
Practice Address - Fax:716-683-7161
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003488-1213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery