Henry M Adam, MD
Individual provider Active NPI Pediatrics Physician · Bronx, NY
NPI 1164592366 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164592366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 145921 (NY)
- Practice address
- 3415 Bainbridge Ave
Children'S Hospital at Montefiore
Bronx, NY 10467 - Phone
- (718) 920-2605
- Fax
- (718) 944-5908
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145921 | NY | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 145921 | NY | Yes |
Addresses
Primary practice location
3415 Bainbridge Ave
Children'S Hospital at Montefiore
Bronx, NY 10467
Mailing address
2575 Palisade Ave
Apt. 9C
Bronx, NY 10463-6101
Phone (718) 920-2605
Other providers in Bronx, NY
- Nana Luther Adabankah
- Razieh Adabimohazab
- Akinori Adachi
- Kwaku Adade-Poku
- Bisrat Hussien Adal
- Muhammad Sanni Adam
- Janine Adamczyk
- Ewa Adamek
- Julissa S Adames-Torres
- Celeste Y Adames
All providers in Bronx, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.