Provider Demographics
NPI:1033127998
Name:FINKELSTEIN, MARTIN S (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:S
Last Name:FINKELSTEIN
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 1:314 E 30TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8303
Mailing Address - Country:US
Mailing Address - Phone:646-370-2030
Mailing Address - Fax:646-370-2012
Practice Address - Street 1:314 E 30TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8303
Practice Address - Country:US
Practice Address - Phone:646-370-2030
Practice Address - Fax:646-370-2012
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY094747-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00495249Medicaid
094747OtherHIP
139146OtherUNITED HEALTHCARE
133484273OtherPHCS
0M0969OtherHEALTHNET
139146OtherEMPIRE UNITED
133484273001OtherCIGNA
NYP00165570OtherRAILROAD MEDICARE
094747OtherHIP VIP
NYP00165570OtherRAILROAD MEDICARE
NY537781Medicare PIN