Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1700X | Ocularist | 13355-19 | NY |
NPI | 1225477508 |
---|---|
Provider Name | Robin Rachel Fink |
First Address | New York, NY 10075-1730 |
Second Address | New York, NY 10075-1730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2013 |
Last Update Date | 07/04/2014 |