Provider Demographics
NPI:1366483380
Name:FINK, ANDREW N (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:N
Last Name:FINK
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 1:160 OVERLOOK AVE
Mailing Address - Street 2:1A
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601
Mailing Address - Country:US
Mailing Address - Phone:201-488-3131
Mailing Address - Fax:201-488-0430
Practice Address - Street 1:160 OVERLOOK AVE
Practice Address - Street 2:1A
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601
Practice Address - Country:US
Practice Address - Phone:201-488-3131
Practice Address - Fax:201-488-0430
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA0705400G207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
037309Medicare ID - Type Unspecified
H14266Medicare UPIN