Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 158019 | NY |
NPI | 1013933373 |
---|---|
Provider Name | Gary Fink |
First Address | Lagrangeville, NY 12540-5517 |
Second Address | Poughkeepsie, NY 12601-6027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 12/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00837187 | (05) | NY |
A61001 | (02) | NY |