Provider Demographics
NPI:1629147988
Name:FINNIS, CHERA MILLICENT (PSY D, CGP, FAGPA)
Entity Type:Individual
Prefix:DR
First Name:CHERA
Middle Name:MILLICENT
Last Name:FINNIS
Suffix:
Gender:F
Credentials:PSY D, CGP, FAGPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 MADISON AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5110
Mailing Address - Country:US
Mailing Address - Phone:917-836-4791
Mailing Address - Fax:212-889-3936
Practice Address - Street 1:171 MADISON AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5110
Practice Address - Country:US
Practice Address - Phone:917-836-4791
Practice Address - Fax:212-889-3936
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009679103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0004620197OtherAETNA PIN
NY5082332OtherPPNI PIN
NYV57031Medicare PIN