Healthcare Provider Details

I. General information

NPI: 1336694363
Provider Name (Legal Business Name): EMMA MARISA FINKELSTEIN PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 08/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N CENTRAL AVE SUITE 340A
HARTSDALE NY
10530-1933
US

IV. Provider business mailing address

10 MAPLE HILL DR
MAHOPAC NY
10541-3835
US

V. Phone/Fax

Practice location:
  • Phone: 914-428-5151
  • Fax:
Mailing address:
  • Phone: 845-216-9082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number010486-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: