Provider Demographics
NPI:1720044274
Name:FINAMORE, CARMEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:J
Last Name:FINAMORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 MINEOLA AVENUE
Mailing Address - Street 2:
Mailing Address - City:CARLE PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11514
Mailing Address - Country:US
Mailing Address - Phone:516-333-5054
Mailing Address - Fax:516-333-5091
Practice Address - Street 1:536 MINEOLA AVENUE
Practice Address - Street 2:
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514
Practice Address - Country:US
Practice Address - Phone:516-333-5054
Practice Address - Fax:516-333-5091
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY166461207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
W208610Medicare ID - Type Unspecified
A64177Medicare UPIN