Healthcare Provider Details
I. General information
NPI: 1053867192
Provider Name (Legal Business Name): RICHARD FINKEL MD P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2016
Last Update Date: 08/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
167 RUTLEDGE ST
BROOKLYN NY
11211-8006
US
IV. Provider business mailing address
14024 68TH DR
FLUSHING NY
11367-1652
US
V. Phone/Fax
- Phone: 718-624-8510
- Fax: 347-889-5502
- Phone: 718-207-5645
- Fax: 888-878-2418
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 202861 |
| License Number State | NY |
VIII. Authorized Official
Name: DR.
RICHARD
A
FINKEL
Title or Position: DOCTOR
Credential: M.D.
Phone: 718-207-5645