Provider Demographics
NPI:1639282155
Name:FINK, ADELE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ADELE
Middle Name:
Last Name:FINK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 E 60TH ST
Mailing Address - Street 2:STE 700
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-7123
Mailing Address - Country:US
Mailing Address - Phone:212-980-9279
Mailing Address - Fax:212-535-7017
Practice Address - Street 1:14 E 60TH ST
Practice Address - Street 2:STE 700
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-7123
Practice Address - Country:US
Practice Address - Phone:212-980-9279
Practice Address - Fax:212-535-7017
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007750103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV50201Medicare ID - Type Unspecified