Provider Demographics
NPI:1841201837
Name:SKOVRINSKI, CYNTHIA (FNPC MS)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:
Last Name:SKOVRINSKI
Suffix:
Gender:F
Credentials:FNPC MS
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:SKOVRINSKI
Other - Last Name:TAAFFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:209 WEST LAKE ROAD
Mailing Address - Street 2:
Mailing Address - City:PENN YAN
Mailing Address - State:NY
Mailing Address - Zip Code:14527
Mailing Address - Country:US
Mailing Address - Phone:315-536-9418
Mailing Address - Fax:
Practice Address - Street 1:293 W NORTH ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-1530
Practice Address - Country:US
Practice Address - Phone:315-789-0993
Practice Address - Fax:315-789-0281
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3324701363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01947199Medicaid
NYMT0414603OtherDEA
NYBB5912Medicare ID - Type Unspecified
S86147Medicare UPIN