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NPI Code Detail

MEDICARE: KEVIN F FINCH R. PH.

MEDICARE: KEVIN F FINCH R. PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist037685NY

General Provider Information

NPI Number : 1053633701
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN F FINCH R. PH.
Provider Business Mailing Address
First Line : 3489 STATE ROUTE 79
Second Line :
City : BURDETT
State : NY
Zip : 14818-9693
Country : US
Telephone Number : 607-546-7792
Fax Number :
Provider Business Practice Location Address
First Line : 135 FAIRGROUNDS MEMORIAL PKWY
Second Line :
City : ITHACA
State : NY
Zip : 14850-5362
Country : US
Telephone Number : 607-277-8126
Fax Number : 607-277-8613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2010
Last Update Date : 02/23/2010

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