Individual
DR. ADAM LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 N CAYUGA ST, ITHACA, NY 14850-4219
(607) 277-0969
(607) 277-3242
Mailing address
404 N CAYUGA ST, ITHACA, NY 14850-4219
(607) 277-0969
(607) 277-3242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
187756-1
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
187756-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01332970
—
NY
01
—
1088
TOTAL CARE GROUP
NY
05
—
2734852
—
NY
01
—
6591
TOTAL CARE
NY
01
—
888009123
EXCELLUS
NY
01
—
968698
MVP
NY
Enumeration date
06/24/2005
Last updated
01/06/2017
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