Provider Demographics
NPI:1114925559
Name:FINKEL, STUART I (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:I
Last Name:FINKEL
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 1:20 GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-1706
Mailing Address - Country:US
Mailing Address - Phone:917-885-0633
Mailing Address - Fax:201-261-4944
Practice Address - Street 1:20 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1706
Practice Address - Country:US
Practice Address - Phone:917-885-0633
Practice Address - Fax:201-261-4944
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120476207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBCBS248APOtherEMPIRE
NYBCBS248APOtherEMPIRE
NY346271Medicare PIN