Provider Demographics
NPI:1740558170
Name:KAREN M. FINNERTY OT,P.C.
Entity Type:Organization
Organization Name:KAREN M. FINNERTY OT,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OTR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:FINNERTY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:845-453-2385
Mailing Address - Street 1:706 OLD STATE ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:DOVER PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:12522
Mailing Address - Country:US
Mailing Address - Phone:845-453-2385
Mailing Address - Fax:845-832-9265
Practice Address - Street 1:706 OLD STATE ROUTE 22
Practice Address - Street 2:
Practice Address - City:DOVER PLAINS
Practice Address - State:NY
Practice Address - Zip Code:12522-5818
Practice Address - Country:US
Practice Address - Phone:845-453-2385
Practice Address - Fax:845-832-9265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY08284-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health