Provider Demographics
NPI:1609076173
Name:FINESTONE & WERTENTHEIL MDS PC
Entity Type:Organization
Organization Name:FINESTONE & WERTENTHEIL MDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WERTENTHEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-258-8383
Mailing Address - Street 1:2270 KIMBALL ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5139
Mailing Address - Country:US
Mailing Address - Phone:718-258-8383
Mailing Address - Fax:718-258-0773
Practice Address - Street 1:2270 KIMBALL ST
Practice Address - Street 2:SUITE 207
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5139
Practice Address - Country:US
Practice Address - Phone:718-258-8383
Practice Address - Fax:718-258-0773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02864Medicare PIN