Provider Demographics
NPI:1699505594
Name:ADAMS, HOWARD ELLIOT JR (MBA, MS, FNP-BC)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:ELLIOT
Last Name:ADAMS
Suffix:JR
Gender:M
Credentials:MBA, MS, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CAVO DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-2605
Mailing Address - Country:US
Mailing Address - Phone:845-797-4197
Mailing Address - Fax:
Practice Address - Street 1:900 ROUTE 376 STE H
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-6496
Practice Address - Country:US
Practice Address - Phone:845-204-9260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY354960363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily