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Individual

ADAM HOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10201 66TH RD, FLUSHING, NY 11375-2029
(917) 837-2030
Mailing address
11781 LEE JACKSON MEMORIAL HWY, SUITE 550, FAIRFAX, VA 22033-3309
(571) 777-5157
(703) 890-2650

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
188884
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01550807
NY
Enumeration date
06/28/2005
Last updated
01/29/2016
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