Provider Demographics
NPI:1316050008
Name:WEINSTEIN-FINNEFROCK, VICKI (NPP)
Entity type:Individual
Prefix:MS
First Name:VICKI
Middle Name:
Last Name:WEINSTEIN-FINNEFROCK
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 OLD FARM CIR
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-3006
Mailing Address - Country:US
Mailing Address - Phone:585-383-0195
Mailing Address - Fax:
Practice Address - Street 1:2000 WINTON RD S
Practice Address - Street 2:BUILDING 4 SUITE 303
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3970
Practice Address - Country:US
Practice Address - Phone:585-381-9337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF300730-1363LA2200X
NYF400908-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY180108EUOtherPREFERRED CARE
NYS46237Medicare UPIN
NYIA0897Medicare PIN