Provider Demographics
NPI:1063505261
Name:FINKELSTEIN, EUGENE (MD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:
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 1:249 MAYFAIR DR N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6713
Mailing Address - Country:US
Mailing Address - Phone:718-615-3200
Mailing Address - Fax:
Practice Address - Street 1:1230 NEPTUNE AVE
Practice Address - Street 2:3245 NOSTRAND AVE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2903
Practice Address - Country:US
Practice Address - Phone:718-615-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159385208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY159385OtherLICENSE NUMBER