MEDICARE: DR. EVGENY FINK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	255017	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306006846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVGENY FINK M.D.

Provider Business Mailing Address
First Line	:	2617 E 17TH ST
Second Line	:	APT.4F
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3825
Country	:	US
Telephone Number	:	347-404-2413
Fax Number	:

Provider Business Practice Location Address
First Line	:	3044 CONEY ISLAND AVE
Second Line	:	SUITE 201
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5660
Country	:	US
Telephone Number	:	646-442-4596
Fax Number	:	718-616-1241

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	04/10/2014

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