Provider Demographics
NPI:1649052465
Name:SKARZYNSKI, ISABEL
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:SKARZYNSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 CASSELLA DR
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-3216
Mailing Address - Country:US
Mailing Address - Phone:203-701-8489
Mailing Address - Fax:
Practice Address - Street 1:56 CASSELLA DR
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-3216
Practice Address - Country:US
Practice Address - Phone:203-701-8489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1180213241171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach