Provider Demographics
NPI:1124236369
Name:FINKEL, MILISSA D (LCAT,LPAT,ATR-BC)
Entity type:Individual
Prefix:
First Name:MILISSA
Middle Name:D
Last Name:FINKEL
Suffix:
Gender:F
Credentials:LCAT,LPAT,ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W ENGLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2833
Mailing Address - Country:US
Mailing Address - Phone:917-623-9049
Mailing Address - Fax:
Practice Address - Street 1:400 W ENGLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2833
Practice Address - Country:US
Practice Address - Phone:917-623-9049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000036221700000X
NJ16LP00019000221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist