Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 007102 | NY |
Y | 222Z00000X | Podiatrist | 007102 | NY |
NPI | 1003264862 |
---|---|
Provider Name | Dr. Cerise Adams |
First Address | Bronx, NY 10457-2545 |
Second Address | Syosset, NY 11791-5313 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2016 |
Last Update Date | 19/08/2020 |