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NPI 1902316896

NPI 1902316896 : VICTORIA FINK MEDICAL PC : SYOSSET, NY

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General NPI Number Information
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    NPI Number           |    1902316896
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    Entity Type          |    Organization 
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    Legal Business Name  |    VICTORIA FINK MEDICAL PC 
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Dates
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    Enumeration Date     |    10/04/2017
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    Last Update Date     |    10/04/2017
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Provider Practice Location Address
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    Address Line         |    60 QUEENS ST STE 100 
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    City                 |    SYOSSET
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    State                |    NY
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    Zip                  |    11791-3058
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    Country              |    US
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    Telephone            |    631-271-9151
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    60 QUEENS ST STE 100 
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    City                 |    SYOSSET
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    State                |    NY
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    Zip                  |    11791-3058
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    Country              |    US
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    Telephone            |    631-271-9151
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. VICTORIA G FINK 
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    Credential           |    MD
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    Telephone            |    631-271-9151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    284963-1
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    License Number State |    NY
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