Basic Information
Provider Information
NPI: 1205854403
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINKELSTEIN
FirstName: STEVEN
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 601 ELMWOOD AVE
Address2: BOX 604
City: ROCHESTER
State: NY
PostalCode: 146420001
CountryCode: US
TelephoneNumber: 5852755982
FaxNumber: 5857560169
Practice Location
Address1: 601 ELMWOOD AVE
Address2: BOX 604
City: ROCHESTER
State: NY
PostalCode: 146420001
CountryCode: US
TelephoneNumber: 5852755982
FaxNumber: 5857560169
Other Information
ProviderEnumerationDate: 07/17/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X218552NYY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
0002593930101NYUNIVERA PROV#OTHER
00091789200101NYHEALTHNOW PROV#OTHER
0037222505NY MEDICAID
G018939359001NYBLUE CHOICE GROUP#OTHER
222201NYBLUE SHIELD GROUP#OTHER
767904201NYAETNA PROV#OTHER
MDF75401NYPREFERRED CAREOTHER
00091789200101NYBS WNY #OTHER
0210327105NY MEDICAID


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