Provider Demographics
NPI:1457627390
Name:FINKER, JILLIAN (ND)
Entity Type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:
Last Name:FINKER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 BELLMORE AVE
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5627
Mailing Address - Country:US
Mailing Address - Phone:516-765-3272
Mailing Address - Fax:
Practice Address - Street 1:992 HIGH RIDGE RD FL 3
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-1616
Practice Address - Country:US
Practice Address - Phone:516-765-3272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000479208D00000X
VT0990084266208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice