Provider Demographics
NPI:1336795913
Name:ADAMES, DARA
Entity Type:Individual
Prefix:
First Name:DARA
Middle Name:
Last Name:ADAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 RAMPASTURE RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON BAYS
Mailing Address - State:NY
Mailing Address - Zip Code:11946-3108
Mailing Address - Country:US
Mailing Address - Phone:347-271-0816
Mailing Address - Fax:
Practice Address - Street 1:49 RAMPASTURE RD
Practice Address - Street 2:
Practice Address - City:HAMPTON BAYS
Practice Address - State:NY
Practice Address - Zip Code:11946-3108
Practice Address - Country:US
Practice Address - Phone:347-271-0816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-10
Last Update Date:2019-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant