Basic Information
Provider Information
NPI: 1306983135
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINK
FirstName: ARTHUR
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 158 W 27TH ST
Address2: 11TH FL. SOUTH
City: NEW YORK
State: NY
PostalCode: 100016216
CountryCode: US
TelephoneNumber: 2125632497
FaxNumber: 2125630605
Practice Location
Address1: 1 BROOKDALE PLZ
Address2: 4TH FL. CHC BLDG
City: BROOKLYN
State: NY
PostalCode: 112123139
CountryCode: US
TelephoneNumber: 7182405842
FaxNumber: 7184856370
Other Information
ProviderEnumerationDate: 01/31/2007
LastUpdateDate: 06/29/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X146102NYY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
0106477705NY MEDICAID


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