Provider Demographics
NPI:1174814057
Name:ADAMES, EDWIN (MS)
Entity Type:Individual
Prefix:MR
First Name:EDWIN
Middle Name:
Last Name:ADAMES
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CROCUS CT
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4207
Mailing Address - Country:US
Mailing Address - Phone:845-290-0182
Mailing Address - Fax:845-290-0182
Practice Address - Street 1:4 CROCUS CT
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4207
Practice Address - Country:US
Practice Address - Phone:845-290-0182
Practice Address - Fax:845-290-0182
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY661386061235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist