MEDICARE: FATIN ADAMS

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	207RG0100X	Gastroenterology Physician	336282	NY

General Provider Information

NPI Number	:	1679440374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FATIN ADAMS

Provider Business Mailing Address
First Line	:	77 PLAZA BLVD
Second Line	:
City	:	PLATTSBURGH
State	:	NY
Zip	:	12901-6438
Country	:	US
Telephone Number	:	518-825-4437
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 PLAZA BLVD STE 101
Second Line	:
City	:	PLATTSBURGH
State	:	NY
Zip	:	12901-6438
Country	:	US
Telephone Number	:	518-825-4437
Fax Number	:

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

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	12/09/2025

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Directions to “ FATIN ADAMS ” Practice Location

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