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NPI Code Detail

MEDICARE: DR. FATIMAT ADAMS DPT

MEDICARE: DR. FATIMAT ADAMS DPT
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
1225100000XPhysical Therapist043685NY

General Provider Information

NPI Number : 1760950398
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FATIMAT ADAMS DPT
Provider Business Mailing Address
First Line : 92A WOLKOFF LN
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-1886
Country : US
Telephone Number : 718-477-9543
Fax Number :
Provider Business Practice Location Address
First Line : 1931 RICHMOND AVE STE 203
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3889
Country : US
Telephone Number : 718-477-1911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2018
Last Update Date : 11/13/2018

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