Provider Demographics
NPI:1447440235
Name:ADAMS, LORETTA MARGARET (NP)
Entity type:Individual
Prefix:
First Name:LORETTA
Middle Name:MARGARET
Last Name:ADAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:972 BRUSH HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-1740
Mailing Address - Country:US
Mailing Address - Phone:516-876-5555
Mailing Address - Fax:516-876-1246
Practice Address - Street 1:2950 EXPRESSWAY DR S STE 108
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-1412
Practice Address - Country:US
Practice Address - Phone:631-439-5300
Practice Address - Fax:631-439-5301
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2022-02-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF301510207L00000X
NY301510363LA2200X
NYF-301510-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology