Provider Demographics
NPI:1316914609
Name:ADAMS, FAITH DEBRA (DPM)
Entity type:Individual
Prefix:DR
First Name:FAITH
Middle Name:DEBRA
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:196 WHISTLE STOP RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-9604
Mailing Address - Country:US
Mailing Address - Phone:585-742-1293
Mailing Address - Fax:585-425-0357
Practice Address - Street 1:980 WESTFALL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2605
Practice Address - Country:US
Practice Address - Phone:585-425-1880
Practice Address - Fax:585-425-0357
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-05
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004954213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01351784Medicaid
NY01351784Medicaid
NYU33879Medicare UPIN