Provider Demographics
NPI:1265767362
Name:FINK, AMY (MS; SLP)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:FINK
Suffix:
Gender:F
Credentials:MS; SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 BURNS ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6131
Mailing Address - Country:US
Mailing Address - Phone:516-835-2912
Mailing Address - Fax:
Practice Address - Street 1:16005 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3435
Practice Address - Country:US
Practice Address - Phone:718-658-5407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015250-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist