Healthcare Provider Details

I. General information

NPI: 1245582915
Provider Name (Legal Business Name): MARIA ELIZABETH ADAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA ELIZABETH COURI MD

II. Dates (important events)

Enumeration Date: 10/05/2012
Last Update Date: 07/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

601 ELMWOOD AVE BOX 635
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-276-4113
  • Fax: 585-276-1128
Mailing address:
  • Phone: 585-276-4113
  • Fax: 585-276-1128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125.061689
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: