Doctor Name: | ADAM KRASS |
NPI Number: | 1023374725 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, ATP |
License Number: | |
Business Practice Address: | 25 Montross Ave Rutherford, NJ - 070701105 |
Business Phone Number: | 2016182315 |
Business Fax Number: | 2019391143 |
Mailing Address: | 25 Montross Ave, RUTHERFORD |
State: | NJ |
Postal Code: | 070701105 |
Phone Number: | 2016182315 |
Fax Number: | 2019391143 |
NPI Enumeration Date: | 04/06/2012 |
NPI Last Update Date: | 04/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225CA2400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Counselor |
Taxonomy Specialization: | Assistive Technology Practitioner |
Taxonomy Definition: |