Healthcare Provider Details

I. General information

NPI: 1336795913
Provider Name (Legal Business Name): DARA ADAMES PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2019
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 MILL RD STE 1
WESTHAMPTON BEACH NY
11978-2311
US

IV. Provider business mailing address

8 OAK ST APT 2
WESTHAMPTON BEACH NY
11978-2047
US

V. Phone/Fax

Practice location:
  • Phone: 347-271-0816
  • Fax:
Mailing address:
  • Phone: 347-271-0816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number025003
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9119924
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: