Provider Demographics
NPI:1730318049
Name:CASSEL, ADAM (CHIROPRACTOR)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:
Last Name:CASSEL
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 EXCHANGE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14608-2708
Mailing Address - Country:US
Mailing Address - Phone:585-454-4190
Mailing Address - Fax:585-454-4191
Practice Address - Street 1:309 EXCHANGE BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14608
Practice Address - Country:US
Practice Address - Phone:585-454-4190
Practice Address - Fax:585-454-4191
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010205111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor