Provider Demographics
NPI:1891149092
Name:SCHIFFER, SANDRA (CASAC-T)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:SCHIFFER
Suffix:
Gender:F
Credentials:CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 NORTHSIDE SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-4901
Mailing Address - Country:US
Mailing Address - Phone:315-363-2451
Mailing Address - Fax:315-363-2454
Practice Address - Street 1:1099 NORTHSIDE SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-4901
Practice Address - Country:US
Practice Address - Phone:315-363-2451
Practice Address - Fax:315-363-2454
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)