Provider Demographics
NPI:1639273881
Name:FINK, CATHERINE ELIZABETH (RD CDN)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:FINK
Suffix:
Gender:F
Credentials:RD CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 MULBERRY STREET
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561
Mailing Address - Country:US
Mailing Address - Phone:845-810-0448
Mailing Address - Fax:
Practice Address - Street 1:243 MAIN STREET
Practice Address - Street 2:SUITE 220
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561
Practice Address - Country:US
Practice Address - Phone:845-255-1978
Practice Address - Fax:845-625-1452
Is Sole Proprietor?:No
Enumeration Date:2006-09-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0049161133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY210012OtherWELLCARE
NY2549170OtherAETNA HMO
NY10044884OtherCDPHP
NY25212OtherHUDSON HEALTH PLAN
NY47583OtherGHI HMO
NY351719OtherMVP
NY7374210OtherAETNA PPO POS
NY210012OtherWELLCARE