Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X002001-1 | NY |
NPI | 1174781439 |
---|---|
Provider Name | Dr. Marvin Finn |
First Address | Syosset, NY 11791-6229 |
Second Address | Syosset, NY 11791-6229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2008 |
Last Update Date | 23/05/2008 |