MEDICARE: LIONEL FINKELSTEIN MD PC

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	102L00000X	Psychoanalyst	4301021273	MI

General Provider Information

NPI Number	:	1790010494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIONEL FINKELSTEIN MD PC

Provider Business Mailing Address
First Line	:	577 ARLINGTON ST
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-1639
Country	:	US
Telephone Number	:	258-646-0152
Fax Number	:

Provider Business Practice Location Address
First Line	:	577 ARLINGTON ST
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-1639
Country	:	US
Telephone Number	:	258-646-0152
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LIONEL FINKELSTEIN
Credential	:	MD
Telephone Number	:	248-646-0152

Provider Enumeration Date	:	10/14/2009
Last Update Date	:	11/06/2015

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