Healthcare Provider Details

I. General information

NPI: 1841221470
Provider Name (Legal Business Name): BARRY I. FINKELSTEIN DPM04
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 EASTCHESTER ROAD
BRONX NY
10469
US

IV. Provider business mailing address

2425 EASTCHESTER ROAD
BRONX NY
10469
US

V. Phone/Fax

Practice location:
  • Phone: 718-881-7990
  • Fax: 718-547-9232
Mailing address:
  • Phone: 718-881-7990
  • Fax: 718-547-9232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberN005392
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: