Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADAM LAKE
Active Sole ProprietorOccupational Therapist · BLOOMFIELD, NY
Registration Details
- NPI Number
- 1578242301
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2023 (2.7866568736936 yrs)
- Last Updated
- Jul 18, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
9070 STATE ROUTE 5 AND 20BLOOMFIELD, NY, 144699407Browse NY providers · Browse ZIP 14469
- Phone
- 5853313160
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.