Provider Demographics
NPI:1851521801
Name:FINKELSTEIN, RANDI (SLP)
Entity Type:Individual
Prefix:MS
First Name:RANDI
Middle Name:
Last Name:FINKELSTEIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:RANDI
Other - Middle Name:
Other - Last Name:FINKELSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:1 ASHLEY RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-3529
Mailing Address - Country:US
Mailing Address - Phone:917-626-5139
Mailing Address - Fax:
Practice Address - Street 1:1 ASHLEY RD
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-3529
Practice Address - Country:US
Practice Address - Phone:917-626-5139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011916235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY011916Medicaid