Provider Demographics
NPI:1912041955
Name:FINKEL, JERRY BERNARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:BERNARD
Last Name:FINKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1150 PARK AVE
Mailing Address - Street 2:APARTMENT 2F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1244
Mailing Address - Country:US
Mailing Address - Phone:212-426-2642
Mailing Address - Fax:212-426-2688
Practice Address - Street 1:4 E 89TH ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0636
Practice Address - Country:US
Practice Address - Phone:212-828-2266
Practice Address - Fax:212-426-2688
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0898522084P0800X
NC537422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY86M441Medicare ID - Type Unspecified
B80439Medicare UPIN
NY86M442Medicare ID - Type Unspecified