Provider Demographics
NPI:1497072136
Name:FINLAYSON, TINA LEE (RN, FNP)
Entity Type:Individual
Prefix:MS
First Name:TINA
Middle Name:LEE
Last Name:FINLAYSON
Suffix:
Gender:F
Credentials:RN, FNP
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Mailing Address - Street 1:41 COUNTY ROUTE 54
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:NY
Mailing Address - Zip Code:13135-2127
Mailing Address - Country:US
Mailing Address - Phone:315-439-7232
Mailing Address - Fax:
Practice Address - Street 1:5180 W TAFT RD
Practice Address - Street 2:
Practice Address - City:N SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-2601
Practice Address - Country:US
Practice Address - Phone:315-567-0437
Practice Address - Fax:315-458-9629
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336384-1363LF0000X
NY551359-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400032548Medicare PIN