Healthcare Provider Details

I. General information

NPI: 1396748414
Provider Name (Legal Business Name): ANDREW L FINLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 11/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4103 MEDICAL CENTER DR
FAYETTEVILLE NY
13066-6600
US

IV. Provider business mailing address

145 KENWOOD AVE
ONEIDA NY
13421-2829
US

V. Phone/Fax

Practice location:
  • Phone: 315-637-7800
  • Fax: 315-637-7808
Mailing address:
  • Phone: 315-363-5122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number166848
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number166848
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: