National Provider Identifier

Jacob William Skezas, MD

Jacob William Skezas, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (607) 257-5858.

NPI 1700851375Ithaca, NYInternal Medicine Physician

Profile Overview

NPI
1700851375
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
February 17, 2006
Last Updated
March 05, 2021

Practice Location

  • 1780 Hanshaw RD
  • Ithaca, NY 14850-9105

Phone: (607) 257-5858

Mailing Address

  • 1 Guthrie Sq
  • Sayre, PA 18840-1625

Specialties

  • Internal Medicine Physician (207R00000X)
  • Internal Medicine Physician (207R00000X)

Endpoints

  • jskezas7913@direct-guthrie.org

    Direct Messaging Address | Direct | Ithaca, NY 14850

Full Record
NPI
1700851375
Entity Type
Individual
Last Name
Skezas
First Name
Jacob
Middle Name
William
Name Prefix
Dr.
Credential
MD
Mailing Street Address
1 Guthrie Sq
Mailing City
Sayre
Mailing State
PA
Mailing ZIP Code
18840-1625
Mailing Country
US
Mailing Phone
(570) 888-5858
Practice Street Address
1780 Hanshaw RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9105
Practice Country
US
Practice Phone
(607) 257-5858
Practice Fax
(607) 257-1718
Enumeration Date
February 17, 2006
Last Updated
March 05, 2021
Sex
Male
Sole Proprietor
No
Certification Date
March 05, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X), Internal Medicine Physician (207R00000X)
Other Identifiers
01088191 (NY), 0011242630002 (PA), CC8362 (NY, Rr Medicare Group), 110079070 (NY, Rr Medicare Pin)