Adcock, Patrick Randall

Adcock, Patrick Randall is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2342. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Adcock, Patrick Randall can be contacted via phone (315) 464-4363.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2342
Phone: (315) 464-4363
Fax: (315) 464-8690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 270182 New York

Profile Details

NPI number 1457670911
LBN Legal business name Adcock, Patrick Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2010
Last updated Sep 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457670911 NPPES
New York MEDICAID 03599786

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