Provider Demographics
NPI:1861476715
Name:SKRZYPIEC, WOJCIECH (MD)
Entity Type:Individual
Prefix:DR
First Name:WOJCIECH
Middle Name:
Last Name:SKRZYPIEC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 DONGAN HILLS AVE
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-1246
Mailing Address - Country:US
Mailing Address - Phone:718-667-7756
Mailing Address - Fax:718-667-7757
Practice Address - Street 1:235 DONGAN HILLS AVE
Practice Address - Street 2:SUITE 2E
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-1246
Practice Address - Country:US
Practice Address - Phone:718-667-7756
Practice Address - Fax:718-667-7757
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191990207RC0200X, 207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01548094Medicaid
NY10J921Medicare ID - Type Unspecified
NYE79647Medicare UPIN