Healthcare Provider Details

I. General information

NPI: 1215855176
Provider Name (Legal Business Name): ADK MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 ROSELLE AVE
CEDARHURST NY
11516-1415
US

IV. Provider business mailing address

350 ROSELLE AVE
CEDARHURST NY
11516-1415
US

V. Phone/Fax

Practice location:
  • Phone: 551-206-1222
  • Fax:
Mailing address:
  • Phone: 551-206-1222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ABRAHAM KNOLL
Title or Position: PHYSICIAN
Credential: MD
Phone: 551-206-1222