Provider Demographics
NPI:1568848596
Name:FINLAY, KIRK ANTONIO (DDS)
Entity Type:Individual
Prefix:
First Name:KIRK
Middle Name:ANTONIO
Last Name:FINLAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 E 149TH ST
Mailing Address - Street 2:CHRISTINE EMMANUEL - SUITE 2A8
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-5504
Mailing Address - Country:US
Mailing Address - Phone:718-579-5692
Mailing Address - Fax:718-579-4781
Practice Address - Street 1:234 E 149TH ST
Practice Address - Street 2:CHRISTINE EMMANUEL - SUITE 2A8
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5504
Practice Address - Country:US
Practice Address - Phone:718-579-5692
Practice Address - Fax:718-579-4781
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-31
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0590111223G0001X
261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No1223G0001XDental ProvidersDentistGeneral Practice