Provider Demographics
NPI:1538359336
Name:FINKELL, JARED NATHANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:NATHANIEL
Last Name:FINKELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 SPRING ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-5800
Mailing Address - Country:US
Mailing Address - Phone:917-558-1812
Mailing Address - Fax:
Practice Address - Street 1:73 SPRING ST
Practice Address - Street 2:SUITE 204
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-5800
Practice Address - Country:US
Practice Address - Phone:917-558-1812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2388572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry