Provider Demographics
NPI:1255549697
Name:SKIFF, TONI LYNN (RN)
Entity type:Individual
Prefix:MRS
First Name:TONI
Middle Name:LYNN
Last Name:SKIFF
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 1:333 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13827-1615
Mailing Address - Country:US
Mailing Address - Phone:607-687-9602
Mailing Address - Fax:607-687-9602
Practice Address - Street 1:333 MAIN ST
Practice Address - Street 2:
Practice Address - City:OWEGO
Practice Address - State:NY
Practice Address - Zip Code:13827-1615
Practice Address - Country:US
Practice Address - Phone:607-687-9602
Practice Address - Fax:607-687-9602
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY418948-1163W00000X
PARN252869L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02843121Medicaid