Provider Demographics
NPI:1952792178
Name:SKREZEC, ALLISON (NP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:SKREZEC
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:ORIENT
Mailing Address - State:NY
Mailing Address - Zip Code:11957-1629
Mailing Address - Country:US
Mailing Address - Phone:631-875-4050
Mailing Address - Fax:
Practice Address - Street 1:1170 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:ORIENT
Practice Address - State:NY
Practice Address - Zip Code:11957-1629
Practice Address - Country:US
Practice Address - Phone:631-875-4050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF339365-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily