MEDICARE: MS. MERREL B. FINKLER M.S.

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	235Z00000X	Speech-Language Pathologist	009376-1	NY

General Provider Information

NPI Number	:	1679806749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MERREL B. FINKLER M.S.

Provider Business Mailing Address
First Line	:	7728 VLEIGH PL
Second Line	:
City	:	KEW GARDENS HILLS
State	:	NY
Zip	:	11367-3145
Country	:	US
Telephone Number	:	718-380-0845
Fax Number	:	718-380-0845

Provider Business Practice Location Address
First Line	:	7728 VLEIGH PL
Second Line	:
City	:	KEW GARDENS HILLS
State	:	NY
Zip	:	11367-3145
Country	:	US
Telephone Number	:	718-380-0845
Fax Number	:	718-380-0845

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

Provider Enumeration Date	:	09/08/2009
Last Update Date	:	09/08/2009

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