Basic Information
| Provider Information | |||||||||
| NPI: | 1497072136 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FINLAYSON | ||||||||
| FirstName: | TINA | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | RN, FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 41 COUNTY ROUTE 54 | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 131352127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3154397232 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5180 W TAFT RD | ||||||||
| Address2: | |||||||||
| City: | N SYRACUSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 132122601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3155670437 | ||||||||
| FaxNumber: | 3154589629 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2010 | ||||||||
| LastUpdateDate: | 03/06/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | F336384-1 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.