Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N004954 | NY |
NPI | 1316914609 |
---|---|
Provider Name | Dr. Faith Debra Adams |
First Address | Pittsford, NY 14534-9604 |
Second Address | Rochester, NY 14618-2605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2006 |
Last Update Date | 13/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01351784 | (05) | NY |
U33879 | (02) | NY |