Provider Demographics
NPI:1902898943
Name:FRANK, ADAM (PT)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:
Last Name:FRANK
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:20 ASSEMBLY DR STE 101
Mailing Address - Street 2:PO BOX 212
Mailing Address - City:MENDON
Mailing Address - State:NY
Mailing Address - Zip Code:14506-9609
Mailing Address - Country:US
Mailing Address - Phone:585-582-1330
Mailing Address - Fax:585-582-2537
Practice Address - Street 1:1130 CROSSPOINTE LANE
Practice Address - Street 2:SUITE 6
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-4159
Practice Address - Country:US
Practice Address - Phone:585-582-1330
Practice Address - Fax:585-582-2537
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2010-02-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY024960225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
J400009568Medicare PIN