Provider Demographics
NPI:1467475566
Name:FINKEL, NOAH S (MD)
Entity Type:Individual
Prefix:
First Name:NOAH
Middle Name:S
Last Name:FINKEL
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 1:205 E MAIN ST
Mailing Address - Street 2:SUITE 1-8
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2923
Mailing Address - Country:US
Mailing Address - Phone:631-427-1506
Mailing Address - Fax:631-427-2134
Practice Address - Street 1:205 E MAIN ST
Practice Address - Street 2:SUITE 1-8
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2923
Practice Address - Country:US
Practice Address - Phone:631-427-1506
Practice Address - Fax:631-427-2134
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106441174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY201922104OtherRAILROAD MEDICARE
NYCS 1077OtherOXFORD
NY0074803OtherGHI
NY1040OtherVYTRA
NY201922104OtherRAILROAD MEDICARE
NY1040OtherVYTRA