Provider Demographics
NPI:1023374725
Name:KRASS, ADAM (MS, ATP)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:KRASS
Suffix:
Gender:M
Credentials:MS, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25 MONTROSS AVE
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1105
Mailing Address - Country:US
Mailing Address - Phone:201-618-2315
Mailing Address - Fax:201-939-1143
Practice Address - Street 1:25 MONTROSS AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1105
Practice Address - Country:US
Practice Address - Phone:201-618-2315
Practice Address - Fax:201-939-1143
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner