Provider Demographics
NPI:1487789392
Name:SKILLS UNLIMITED, INC.
Entity type:Organization
Organization Name:SKILLS UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-870-1600
Mailing Address - Street 1:191 SWEET HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:OLD BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11804
Mailing Address - Country:US
Mailing Address - Phone:516-870-1600
Mailing Address - Fax:516-870-7060
Practice Address - Street 1:405 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:NY
Practice Address - Zip Code:11769-1651
Practice Address - Country:US
Practice Address - Phone:516-870-1600
Practice Address - Fax:516-870-7060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6868-110A261QM0850X
NY6868003A261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1073535902OtherNPI - VEENA KULKARNI
NY1841213618OtherNPI - LES WEINBERG
NYN3J1904091Medicaid
NY00468759Medicaid
NY1922169390OtherNPI - HAROLD SEQUEIRA
NY070491-1OtherLICENSE - LISA GATTI
NY1386717460OtherNPI - JANINE FIORELLO
NY02168532Medicaid
NY1164557500OtherNPI - DARYL GORELIK
NYW04091OtherMEDICARE PTAN
NY01494339Medicaid
NY02702023Medicaid
NY1194890608OtherNPI - LISA GATTI
NY1720113137OtherNPI - COLLEEN VATALARO
NYW04091Medicare UPIN
NY01494339Medicaid