Provider Demographics
NPI:1962550244
Name:ADAMS, JOAN S (MD)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:S
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:JOAN
Other - Middle Name:S
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:THREE BURBANK STREET
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710
Mailing Address - Country:US
Mailing Address - Phone:914-961-6660
Mailing Address - Fax:914-961-6939
Practice Address - Street 1:THREE BURBANK STREET
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710
Practice Address - Country:US
Practice Address - Phone:914-961-6660
Practice Address - Fax:914-961-6660
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133789207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D38947Medicare ID - Type Unspecified