Provider Demographics
NPI:1649538992
Name:GOLDFINGER, NYHRA (APN)
Entity type:Individual
Prefix:MRS
First Name:NYHRA
Middle Name:
Last Name:GOLDFINGER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MISS
Other - First Name:NYHRA
Other - Middle Name:
Other - Last Name:VILLABLANCA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN
Mailing Address - Street 1:630 W 168TH ST # 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3725
Mailing Address - Country:US
Mailing Address - Phone:212-305-8559
Mailing Address - Fax:212-305-8109
Practice Address - Street 1:177 FORT WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-8559
Practice Address - Fax:212-305-8109
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00348800363LA2100X
NY430900363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care