Provider Demographics
NPI:1508074097
Name:FINN, MARY S
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:S
Last Name:FINN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 WEST MONTAUK HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:WEST BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706
Mailing Address - Country:US
Mailing Address - Phone:631-666-4039
Mailing Address - Fax:631-666-4039
Practice Address - Street 1:401 WEST MONTAUK HIGHWAY
Practice Address - Street 2:
Practice Address - City:WEST BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706
Practice Address - Country:US
Practice Address - Phone:631-666-4039
Practice Address - Fax:631-666-4039
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY100218417401Medicaid
NYM9099Medicare ID - Type Unspecified
P14605Medicare UPIN