Provider Demographics
NPI:1821546482
Name:FINKLE, HEIDI L (NP)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:L
Last Name:FINKLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BRICKHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:NY
Mailing Address - Zip Code:12170-1714
Mailing Address - Country:US
Mailing Address - Phone:518-368-5344
Mailing Address - Fax:
Practice Address - Street 1:55 MOHAWK ST
Practice Address - Street 2:SUITE 101
Practice Address - City:COHOES
Practice Address - State:NY
Practice Address - Zip Code:12047-2629
Practice Address - Country:US
Practice Address - Phone:518-233-9500
Practice Address - Fax:518-235-4827
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF382676-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics