MEDICARE: MR. ADAM FRANK P.T.

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	225100000X	Physical Therapist	024960	NY

General Provider Information

NPI Number	:	1902898943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ADAM FRANK P.T.

Provider Business Mailing Address
First Line	:	20 ASSEMBLY DR STE 101
Second Line	:	PO BOX 212
City	:	MENDON
State	:	NY
Zip	:	14506-9609
Country	:	US
Telephone Number	:	585-582-1330
Fax Number	:	585-582-2537

Provider Business Practice Location Address
First Line	:	1130 CROSSPOINTE LANE
Second Line	:	SUITE 6
City	:	WEBSTER
State	:	NY
Zip	:	14580-4159
Country	:	US
Telephone Number	:	585-582-1330
Fax Number	:	585-582-2537

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	02/25/2010

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