Provider Demographics
NPI:1932444783
Name:ADAMOWICZ, GENE (MOT DPT)
Entity type:Individual
Prefix:
First Name:GENE
Middle Name:
Last Name:ADAMOWICZ
Suffix:
Gender:M
Credentials:MOT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 MONTAUK HWY STE D
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11769-1339
Mailing Address - Country:US
Mailing Address - Phone:631-563-2225
Mailing Address - Fax:
Practice Address - Street 1:1300 MONTAUK HWY STE D
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:NY
Practice Address - Zip Code:11769-1339
Practice Address - Country:US
Practice Address - Phone:631-563-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-05
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016278-1225X00000X
NY033617225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist