National Provider Identifier
Adam Lake
Adam Lake is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Bloomfield, NY and a listed phone number of (585) 331-3160.
Profile Overview
- NPI
- 1578242301
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- July 18, 2023
- Last Updated
- July 18, 2023
Practice Location
- 9070 State Route 5 And 20
- Bloomfield, NY 14469-9407
Phone: (585) 331-3160
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1578242301
- Entity Type
- Individual
- Last Name
- Lake
- First Name
- Adam
- Mailing Street Address
- 9070 State Route 5 And 20
- Mailing City
- Bloomfield
- Mailing State
- NY
- Mailing ZIP Code
- 14469-9407
- Mailing Country
- US
- Practice Street Address
- 9070 State Route 5 And 20
- Practice City
- Bloomfield
- Practice State
- NY
- Practice ZIP Code
- 14469-9407
- Practice Country
- US
- Practice Phone
- (585) 331-3160
- Enumeration Date
- July 18, 2023
- Last Updated
- July 18, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 18, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)