Provider Demographics
NPI:1003577826
Name:ADAMS, BRETT DANIEL (DC)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:DANIEL
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 SARATOGA RD
Mailing Address - Street 2:
Mailing Address - City:BURNT HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:12027
Mailing Address - Country:US
Mailing Address - Phone:518-399-2225
Mailing Address - Fax:518-399-2225
Practice Address - Street 1:802 SARATOGA RD
Practice Address - Street 2:
Practice Address - City:BURNT HILLS
Practice Address - State:NY
Practice Address - Zip Code:12027
Practice Address - Country:US
Practice Address - Phone:518-399-2225
Practice Address - Fax:518-399-2225
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013535111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor