Individual
COREY ADAM SCOFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-6000
Mailing address
9633 MAYNARD DR, MARCY, NY 13403-2233
(518) 775-0394
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
720924-1
NY
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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