Provider Demographics
NPI:1245367408
Name:ADSIT, DAVID A (RPH)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:ADSIT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 542
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-0542
Mailing Address - Country:US
Mailing Address - Phone:607-547-1228
Mailing Address - Fax:607-547-1230
Practice Address - Street 1:5396 STATE HIGHWAY 28
Practice Address - Street 2:
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326-5710
Practice Address - Country:US
Practice Address - Phone:607-547-1228
Practice Address - Fax:607-547-1230
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist