Provider Demographics
NPI:1114257482
Name:FINKLE, RISE JUDITH (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:RISE
Middle Name:JUDITH
Last Name:FINKLE
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 OLD KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:STONE RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:12484-5714
Mailing Address - Country:US
Mailing Address - Phone:845-389-2547
Mailing Address - Fax:
Practice Address - Street 1:264 OLD KINGS HWY
Practice Address - Street 2:
Practice Address - City:STONE RIDGE
Practice Address - State:NY
Practice Address - Zip Code:12484-5714
Practice Address - Country:US
Practice Address - Phone:845-389-2547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001450-1171100000X
CT000204175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath