MEDICARE: DR. STUART I. FINKEL 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	120476	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BCBS248AP	OTHER	NY	EMPIRE

General Provider Information

NPI Number	:	1114925559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART I. FINKEL MD

Provider Business Mailing Address
First Line	:	20 GRAND BLVD
Second Line	:
City	:	EMERSON
State	:	NJ
Zip	:	07630-1706
Country	:	US
Telephone Number	:	917-885-0633
Fax Number	:	201-261-4944

Provider Business Practice Location Address
First Line	:	20 GRAND BLVD
Second Line	:
City	:	EMERSON
State	:	NJ
Zip	:	07630-1706
Country	:	US
Telephone Number	:	917-885-0633
Fax Number	:	201-261-4944

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	01/24/2024

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