Healthcare Provider Details

I. General information

NPI: 1326013277
Provider Name (Legal Business Name): ADAM BRETT KNOTTS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 09/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 W WATER ST
PAINTED POST NY
14870-1131
US

IV. Provider business mailing address

204 W WATER ST
PAINTED POST NY
14870-1131
US

V. Phone/Fax

Practice location:
  • Phone: 607-936-4106
  • Fax: 607-936-1559
Mailing address:
  • Phone: 607-962-3501
  • Fax: 607-936-1559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number70011190
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: