Healthcare Provider Details

I. General information

NPI: 1457261497
Provider Name (Legal Business Name): ANDREW FINKELSTEIN LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 N FRANKLIN TPKE STE 107
RAMSEY NJ
07446-2029
US

IV. Provider business mailing address

15-23 PARMELEE AVE FL 1
FAIR LAWN NJ
07410-1914
US

V. Phone/Fax

Practice location:
  • Phone: 201-749-1750
  • Fax:
Mailing address:
  • Phone: 516-343-5980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37AC00918100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: