Provider Demographics
NPI:1841221470
Name:FINKELSTEIN, BARRY I (DPM04)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:I
Last Name:FINKELSTEIN
Suffix:
Gender:M
Credentials:DPM04
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 EASTCHESTER ROAD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469
Mailing Address - Country:US
Mailing Address - Phone:718-881-7990
Mailing Address - Fax:718-547-9232
Practice Address - Street 1:2425 EASTCHESTER ROAD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469
Practice Address - Country:US
Practice Address - Phone:718-881-7990
Practice Address - Fax:718-547-9232
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005392213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01785639Medicaid
NYP94581Medicare ID - Type Unspecified
NY01785639Medicaid