Provider Demographics
NPI:1598875940
Name:FINEBERG, DONALD E (MD PC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:E
Last Name:FINEBERG
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W DE VARGAS ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87501-2654
Mailing Address - Country:US
Mailing Address - Phone:505-983-5387
Mailing Address - Fax:
Practice Address - Street 1:200 W DE VARGAS ST
Practice Address - Street 2:SUITE 5
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87501-2654
Practice Address - Country:US
Practice Address - Phone:505-983-5387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM781582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMBF7695971OtherDEA
2126337Medicare UPIN