Individual
ALICIA MAE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2500
Mailing address
476 SCHOENECK AVE, NAZARETH, PA 18064-9237
(610) 781-7270
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23013698
NY
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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