Provider Demographics
NPI:1558842765
Name:FINKELSTEIN, KORRYNA (MA, EDM)
Entity Type:Individual
Prefix:MRS
First Name:KORRYNA
Middle Name:
Last Name:FINKELSTEIN
Suffix:
Gender:F
Credentials:MA, EDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 LOCUST ST APT 1C
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-2672
Mailing Address - Country:US
Mailing Address - Phone:774-230-6621
Mailing Address - Fax:
Practice Address - Street 1:83 GRACE CHURCH ST FL 1
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4905
Practice Address - Country:US
Practice Address - Phone:774-230-6621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-25
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 103TS0200X
CT1151103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool