Healthcare Provider Details

I. General information

NPI: 1790010494
Provider Name (Legal Business Name): LIONEL FINKELSTEIN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 11/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 ARLINGTON ST
BIRMINGHAM MI
48009-1639
US

IV. Provider business mailing address

577 ARLINGTON ST
BIRMINGHAM MI
48009-1639
US

V. Phone/Fax

Practice location:
  • Phone: 258-646-0152
  • Fax:
Mailing address:
  • Phone: 258-646-0152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number4301021273
License Number StateMI

VIII. Authorized Official

Name: DR. LIONEL FINKELSTEIN
Title or Position: OWNER
Credential: MD
Phone: 248-646-0152