Provider Demographics
NPI:1124854955
Name:FINN, BRIANNA ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:ELIZABETH
Last Name:FINN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5539 SHADY AVE
Mailing Address - Street 2:
Mailing Address - City:LOWVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13367-1632
Mailing Address - Country:US
Mailing Address - Phone:315-804-3422
Mailing Address - Fax:
Practice Address - Street 1:5402 DAYAN ST
Practice Address - Street 2:
Practice Address - City:LOWVILLE
Practice Address - State:NY
Practice Address - Zip Code:13367-1100
Practice Address - Country:US
Practice Address - Phone:315-376-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical