Provider Demographics
NPI:1043460884
Name:FINERAN, VIRGINIA ANNE (MA)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:ANNE
Last Name:FINERAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 W 163RD ST
Mailing Address - Street 2:APT 43
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-4513
Mailing Address - Country:US
Mailing Address - Phone:646-283-9799
Mailing Address - Fax:
Practice Address - Street 1:652 W 163RD ST
Practice Address - Street 2:APT 43
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-4513
Practice Address - Country:US
Practice Address - Phone:646-283-9799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No251C00000XAgenciesDay Training, Developmentally Disabled Services