Provider Demographics
NPI:1528246915
Name:SCOFIELD, CHRISTIE M
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:M
Last Name:SCOFIELD
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 1:1409 ALTAMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-2904
Mailing Address - Country:US
Mailing Address - Phone:518-355-2008
Mailing Address - Fax:518-355-2029
Practice Address - Street 1:1409 ALTAMONT AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-2904
Practice Address - Country:US
Practice Address - Phone:518-355-2008
Practice Address - Fax:518-355-2029
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist