Provider Demographics
NPI:1346306594
Name:FINNERAN, LINDA J (PT DPT PCS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:J
Last Name:FINNERAN
Suffix:
Gender:F
Credentials:PT DPT PCS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:71 GATES AVENUE
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565
Mailing Address - Country:US
Mailing Address - Phone:516-593-0727
Mailing Address - Fax:
Practice Address - Street 1:2415 JERUSALEM AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-1870
Practice Address - Country:US
Practice Address - Phone:516-785-5257
Practice Address - Fax:516-785-5154
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY00991312251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA745513OtherOXFORD
NYQ6337OtherBCBS PPO EPO