MEDICARE: BRUCE FINKELSTEIN OPTICIAN

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	156FX1100X	Ophthalmic Technician/Technologist	003801	NY

General Provider Information

NPI Number	:	1164691440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE FINKELSTEIN OPTICIAN

Provider Business Mailing Address
First Line	:	5903 1/2 AVE N
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234
Country	:	US
Telephone Number	:	718-444-7007
Fax Number	:	718-444-7244

Provider Business Practice Location Address
First Line	:	5903 1/2 AVENUE N
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4129
Country	:	US
Telephone Number	:	718-444-7007
Fax Number	:	718-444-7244

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

Provider Enumeration Date	:	02/21/2008
Last Update Date	:	12/06/2023

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