Healthcare Provider Details

I. General information

NPI: 1033873153
Provider Name (Legal Business Name): ADAPT MEDICAL PROFESSIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 MAIDEN LANE 8TH FLOOR
NEW YORK NY
10038-4783
US

IV. Provider business mailing address

80 MAIDEN LANE 8TH FLOOR
NEW YORK NY
10038-4783
US

V. Phone/Fax

Practice location:
  • Phone: 212-683-6700
  • Fax: 212-679-0893
Mailing address:
  • Phone: 212-683-6700
  • Fax: 212-679-0893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251H1300X
TaxonomyHuman Factors Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KENNETH MICHAEL STEIN
Title or Position: DIRECTOR, BUSINESS OPERATIONS
Credential:
Phone: 212-683-6700