1992881700 NPI number — NOAH S FINKEL MD PC

Table of content: (NPI 1992881700)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992881700 NPI number — NOAH S FINKEL MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NOAH S FINKEL MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992881700
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
205 E MAIN ST
Provider Second Line Business Mailing Address:
SUITE 1-8
Provider Business Mailing Address City Name:
HUNTINGTON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11743-2923
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-427-1500
Provider Business Mailing Address Fax Number:
631-427-2134

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 E MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 1-8
Provider Business Practice Location Address City Name:
HUNTINGTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11743-2923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-427-1500
Provider Business Practice Location Address Fax Number:
631-427-2134
Provider Enumeration Date:
10/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FINKEL
Authorized Official First Name:
NOAH
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
631-427-1506

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  106441 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0074803 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 201922104 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: CS 1077 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1040 . This is a "VYTRA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1992881700 . This is a "EMPIRE BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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