MEDICARE: DR. MICHAEL FINNEGAN MD

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
1	207RG0100X	Gastroenterology Physician	038782	CT
2	207RG0100X	Gastroenterology Physician	243548	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083695944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL FINNEGAN MD

Provider Business Mailing Address
First Line	:	380 GUY PARK AVE
Second Line	:	ATTN: CHRISTINE RUSSO
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-1055
Country	:	US
Telephone Number	:	518-841-7430
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 GUY PARK AVE
Second Line	:	SUITE 102
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-1043
Country	:	US
Telephone Number	:	518-843-1240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	10/24/2014

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