Provider Demographics
NPI:1164691440
Name:FINKELSTEIN, BRUCE (OPTICIAN)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:
Last Name:FINKELSTEIN
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5903 1/2 AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234
Mailing Address - Country:US
Mailing Address - Phone:718-444-7007
Mailing Address - Fax:718-444-7244
Practice Address - Street 1:5903 1/2 AVENUE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4129
Practice Address - Country:US
Practice Address - Phone:718-444-7007
Practice Address - Fax:718-444-7244
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003801156FX1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic