Provider Demographics
NPI:1164929733
Name:FINELL, ANIN (COTA/L)
Entity Type:Individual
Prefix:
First Name:ANIN
Middle Name:
Last Name:FINELL
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 JOHNES ST APT 404
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-5672
Mailing Address - Country:US
Mailing Address - Phone:845-248-2743
Mailing Address - Fax:
Practice Address - Street 1:70 JOHNES ST APT 404
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-5672
Practice Address - Country:US
Practice Address - Phone:845-248-2743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009689224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant