Individual
DR. JOHN WILLIAM ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2495 MAIN ST, SUITE 452, BUFFALO, NY 14214-2152
(716) 833-3448
Mailing address
9424 LAKE SHORE RD, ANGOLA, NY 14006-9216
(716) 549-5152
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013309-0
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025226302
UNIVERA
NY
01
—
000525339004
BLUE CROSSBLUE SHILED
NY
05
—
02273325
—
NY
01
—
1590288
INDEPENDENT HEALTH
NY
Enumeration date
03/03/2007
Last updated
07/08/2007
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