Provider Demographics
NPI:1831725860
Name:SKRYPACK, ADAM E (PHARMD BCOP)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:E
Last Name:SKRYPACK
Suffix:
Gender:M
Credentials:PHARMD BCOP
Other - Prefix:
Other - First Name:ADAM
Other - Middle Name:E
Other - Last Name:SKRYPACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14 MILL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6412
Mailing Address - Country:US
Mailing Address - Phone:845-304-7097
Mailing Address - Fax:
Practice Address - Street 1:160 N MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-1912
Practice Address - Country:US
Practice Address - Phone:845-348-2657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-22
Last Update Date:2020-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0551281835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology