Healthcare Provider Details

I. General information

NPI: 1790432698
Provider Name (Legal Business Name): JEANNE-CLAIRE OLIVIER FINK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2022
Last Update Date: 03/10/2022
Certification Date: 03/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MARKET ST
SADDLE BROOK NJ
07663-5318
US

IV. Provider business mailing address

116 CORNELIA ST UNIT 1
BROOKLYN NY
11221-5128
US

V. Phone/Fax

Practice location:
  • Phone: 201-368-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License Number26NR23829100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: