Provider Demographics
NPI:1881403657
Name:ADAMES, JADIYA
Entity type:Individual
Prefix:
First Name:JADIYA
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 1:57 ALEXANDER ST APT 563
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1266
Mailing Address - Country:US
Mailing Address - Phone:347-659-5609
Mailing Address - Fax:
Practice Address - Street 1:57 ALEXANDER ST APT 563
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1266
Practice Address - Country:US
Practice Address - Phone:347-659-5609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant