MEDICARE: ROBIN E ADAMS F.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F331306	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1659310209	OTHER	NY	MVP HEALTHCARE

General Provider Information

NPI Number	:	1659310209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN E ADAMS F.N.P.

Provider Business Mailing Address
First Line	:	700 SOUTH PERRY ST.
Second Line	:	JOHNSTOWN PEDIATRIC HEALTH CENTER
City	:	JOHNSTOWN
State	:	NY
Zip	:	12095-3213
Country	:	US
Telephone Number	:	518-762-3161
Fax Number	:	518-762-4902

Provider Business Practice Location Address
First Line	:	700 SOUTH PERRY ST.
Second Line	:	JOHNSTOWN PEDIATRIC HEALTH CENTER
City	:	JOHNSTOWN
State	:	NY
Zip	:	12095-3213
Country	:	US
Telephone Number	:	518-762-3161
Fax Number	:	518-762-4902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	07/21/2022

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