Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X013535 | NY |
NPI | 1003577826 |
---|---|
Provider Name | Brett Daniel Adams |
First Address | Saratoga Springs, NY 12866-5857 |
Second Address | Saratoga Springs, NY 12866-5857 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2022 |
Last Update Date | 04/01/2022 |