Healthcare Provider Details

I. General information

NPI: 1295854941
Provider Name (Legal Business Name): DIANE R. FINNERTY, AU.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 PORTLAND AVE SUITE 7
ROCHESTER NY
14621-2731
US

IV. Provider business mailing address

1295 PORTLAND AVE SUITE 7
ROCHESTER NY
14621-2731
US

V. Phone/Fax

Practice location:
  • Phone: 585-429-7771
  • Fax: 585-266-7916
Mailing address:
  • Phone: 585-429-7771
  • Fax: 585-266-7916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number15000010689
License Number StateNY

VIII. Authorized Official

Name: DR. DIANE RITA FINNERTY
Title or Position: OWNER
Credential: AUD
Phone: 585-429-7771