Healthcare Provider Details

I. General information

NPI: 1386763688
Provider Name (Legal Business Name): COMMUNITY BURN &WOUND TREATMENT SERVICESPC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SEAVIEW AVE
STATEN ISLAND NY
10305-3403
US

IV. Provider business mailing address

1 EDGEWATER ST 6TH FLOOR
STATEN ISLAND NY
10305-4900
US

V. Phone/Fax

Practice location:
  • Phone: 800-607-3514
  • Fax: 718-226-6603
Mailing address:
  • Phone: 718-226-1013
  • Fax: 718-226-1039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNY

VIII. Authorized Official

Name: JEROME FINKELSTEIN
Title or Position: DIRECTOR
Credential: MD
Phone: 800-607-3514