Provider Demographics
NPI:1275123168
Name:ADAMES, CASILDA (NP, RN)
Entity Type:Individual
Prefix:MRS
First Name:CASILDA
Middle Name:
Last Name:ADAMES
Suffix:
Gender:F
Credentials:NP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 ROOSEVELT ST APT 2
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-5865
Mailing Address - Country:US
Mailing Address - Phone:917-586-5290
Mailing Address - Fax:
Practice Address - Street 1:28 ROOSEVELT ST APT 2
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-5865
Practice Address - Country:US
Practice Address - Phone:917-586-5290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY658316163W00000X
NY310098363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse