Provider Demographics
NPI:1669552618
Name:FINNEY, DEIRDRE L (MD)
Entity type:Individual
Prefix:DR
First Name:DEIRDRE
Middle Name:L
Last Name:FINNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:963 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-1831
Mailing Address - Country:US
Mailing Address - Phone:607-734-1447
Mailing Address - Fax:607-737-6274
Practice Address - Street 1:963 WALNUT ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-1831
Practice Address - Country:US
Practice Address - Phone:607-734-1447
Practice Address - Fax:607-737-6274
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1881212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC5518Medicare ID - Type UnspecifiedMEDICARE