Skezas, Jacob William

Skezas, Jacob William is an individual health care provider with primary practice located at 1780 Hanshaw Rd , Ithaca NY 14850-9105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Skezas, Jacob William can be contacted via phone (607) 257-5858.

Contact Information

Primary practice address
1780 Hanshaw Rd Ithaca NY 14850-9105
Phone: (607) 257-5858
Fax: (607) 257-1718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD038449E Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 176831-1 New York

Profile Details

NPI number 1700851375
LBN Legal business name Skezas, Jacob William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 5th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700851375 NPPES
New York MEDICAID 01088191
New York MEDICAID 0011242630002
New York Other CC8362
New York Other 110079070

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