MEDICARE: MRS. ELENA SCRIVO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	039510	NY

General Provider Information

NPI Number	:	1205010840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELENA SCRIVO

Provider Business Mailing Address
First Line	:	935 W MOUNTAIN RD
Second Line	:
City	:	QUEENSBURY
State	:	NY
Zip	:	12804-8215
Country	:	US
Telephone Number	:	518-222-4785
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 LAWRENCE ST
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-1399
Country	:	US
Telephone Number	:	518-691-1461
Fax Number	:	518-691-1640

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2007
Last Update Date	:	01/05/2026

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