Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 123994 | NY |
Y | 208200000X | Surgeon | 123994 | NY |
Y | 208600000X | Surgeon | 123994 | NY |
N | 2086S0129X | Vascular Surgeon | 123994 | NY |
NPI | 1437148228 |
---|---|
Provider Name | Dr. Alfred Andrew Adamo |
First Address | Mineola, NY 11501-4073 |
Second Address | Mineola, NY 11501-4073 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2005 |
Last Update Date | 15/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00542214 | (05) | NY |
C09530 | (02) |