Provider Demographics
NPI:1639307960
Name:FINKENBERG, KRISHNA E (PT)
Entity Type:Individual
Prefix:MR
First Name:KRISHNA
Middle Name:E
Last Name:FINKENBERG
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 FLORENCE ST
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-2008
Mailing Address - Country:US
Mailing Address - Phone:914-309-9525
Mailing Address - Fax:914-630-2812
Practice Address - Street 1:504 FLORENCE ST
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-2008
Practice Address - Country:US
Practice Address - Phone:914-309-9525
Practice Address - Fax:914-630-2812
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014528-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics