Provider Demographics
NPI:1417591496
Name:FINCH, GREGORY LYNN (MSW)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:LYNN
Last Name:FINCH
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:NY
Mailing Address - Zip Code:14892-1447
Mailing Address - Country:US
Mailing Address - Phone:607-738-2267
Mailing Address - Fax:
Practice Address - Street 1:440 PARK AVE
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:NY
Practice Address - Zip Code:14892-1447
Practice Address - Country:US
Practice Address - Phone:607-738-2267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031011-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical