Provider Demographics
NPI:1467671255
Name:FINK, CANDIDA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:CANDIDA
Middle Name:ANN
Last Name:FINK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CANDIDA
Other - Middle Name:FINK
Other - Last Name:AGEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12 PARCOT AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-1211
Mailing Address - Country:US
Mailing Address - Phone:877-534-1090
Mailing Address - Fax:914-560-2106
Practice Address - Street 1:12 PARCOT AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-1211
Practice Address - Country:US
Practice Address - Phone:877-534-1090
Practice Address - Fax:914-560-2106
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2093762084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZE19767Medicare UPIN