Provider Demographics
NPI:1053577734
Name:CEMER, ADNAN (MD)
Entity type:Individual
Prefix:DR
First Name:ADNAN
Middle Name:
Last Name:CEMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ATWELL RD
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-1301
Mailing Address - Country:US
Mailing Address - Phone:076-547-3456
Mailing Address - Fax:
Practice Address - Street 1:1055 MADISON MARKETPLACE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NY
Practice Address - Zip Code:13346-2343
Practice Address - Country:US
Practice Address - Phone:315-825-3111
Practice Address - Fax:315-825-3017
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400057379Medicare PIN