Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1100X | Ophthalmic | 003801 | NY |
NPI | 1164691440 |
---|---|
Provider Name | Bruce Finkelstein |
First Address | Brooklyn, NY 11234 |
Second Address | Brooklyn, NY 11234-4129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2008 |
Last Update Date | 21/02/2008 |