Provider Demographics
NPI:1043807704
Name:KOFSKY, ELIZABETH FRANCES
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:FRANCES
Last Name:KOFSKY
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 1:510 E TRINITY AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-1951
Mailing Address - Country:US
Mailing Address - Phone:845-242-7388
Mailing Address - Fax:
Practice Address - Street 1:1109 W NC HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5548
Practice Address - Country:US
Practice Address - Phone:919-403-8059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29995183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist