Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 037990 | NY |
NPI | 1023418308 |
---|---|
Provider Name | Dr. Adam Krahmer |
First Address | Brockport, NY 14420-1306 |
Second Address | Brockport, NY 14420-1306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2014 |
Last Update Date | 10/10/2018 |