Provider Demographics
NPI:1437439452
Name:FAVRO, ADAM N (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:N
Last Name:FAVRO
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 1:125 HIGH ROCK AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-2307
Mailing Address - Country:US
Mailing Address - Phone:518-584-9500
Mailing Address - Fax:518-584-9501
Practice Address - Street 1:125 HIGH ROCK AVE STE 100
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2307
Practice Address - Country:US
Practice Address - Phone:518-584-9500
Practice Address - Fax:518-584-9501
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-22
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012074111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor