Provider Demographics
NPI:1902838709
Name:PILOF-FINKELSTEIN, ELLEN IRIS (AUD)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:IRIS
Last Name:PILOF-FINKELSTEIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:ELLEN
Other - Middle Name:IRIS
Other - Last Name:FINKELSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:134 BAKER HILL RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-1716
Mailing Address - Country:US
Mailing Address - Phone:516-773-4160
Mailing Address - Fax:516-487-1998
Practice Address - Street 1:162 E 78TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0406
Practice Address - Country:US
Practice Address - Phone:212-327-1155
Practice Address - Fax:212-327-1156
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2010-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY431231H00000X
NY14000001155237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11766524OtherCAQH