| Doctor Name: | MS. MAUREEN KEEFE SCOVILLE |
| NPI Number: | 1477704377 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 133494-1 |
| Business Practice Address: | 743 Columbia Tpke East Greenbush, NY - 120612266 |
| Business Phone Number: | 5184777535 |
| Business Fax Number: | |
| Mailing Address: | 743 Columbia Tpke, EAST GREENBUSH |
| State: | NY |
| Postal Code: | 120612266 |
| Phone Number: | 5184777535 |
| Fax Number: | |
| NPI Enumeration Date: | 10/09/2008 |
| NPI Last Update Date: | 11/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA0400X |
| License Number: | 133494-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |