Healthcare Provider Details

I. General information

NPI: 1326567025
Provider Name (Legal Business Name): THOMAS EDWARD FINN AGNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 09/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 MAIN RD
CORFU NY
14036-9753
US

IV. Provider business mailing address

150 TRUMBULL PKWY
BATAVIA NY
14020-2619
US

V. Phone/Fax

Practice location:
  • Phone: 585-599-6446
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF308417-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: