Provider Demographics
NPI: | 1962281568 |
---|---|
Name: | R FINNEY MD LLC |
Entity type: | Organization |
Organization Name: | R FINNEY MD LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | DERMATOLOGIST |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ROBERT |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | FINNEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 201-298-3227 |
Mailing Address - Street 1: | 261 HUDSON ST APT 7B |
Mailing Address - Street 2: | |
Mailing Address - City: | NEW YORK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10013-1567 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 724-316-8706 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 333 HUDSON ST STE 701 |
Practice Address - Street 2: | |
Practice Address - City: | NEW YORK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10013-1006 |
Practice Address - Country: | US |
Practice Address - Phone: | 724-316-8706 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-09-25 |
Last Update Date: | 2023-11-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | Group - Single Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
1013208487 | Other | PERSONAL NPI |