Individual
MR. ADAM W PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4000 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6631
(315) 663-0100
(315) 663-0052
Mailing address
4000 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6631
(315) 663-0100
(315) 663-0052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017022
NY
Other
Enumeration date
09/23/2013
Last updated
05/11/2016
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