Provider Demographics
NPI:1912335274
Name:FINKENBERG PHYSICAL THERAPY
Entity Type:Organization
Organization Name:FINKENBERG PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KRISHNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:FINKENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-309-9525
Mailing Address - Street 1:504 FLORENCE ST
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-2008
Mailing Address - Country:US
Mailing Address - Phone:914-309-9525
Mailing Address - Fax:914-630-2812
Practice Address - Street 1:504 FLORENCE ST
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-2008
Practice Address - Country:US
Practice Address - Phone:914-309-9525
Practice Address - Fax:914-630-2812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0145281320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities