Provider Demographics
NPI:1548846884
Name:FINGAR, ROSCO ROBERT SR
Entity type:Individual
Prefix:MR
First Name:ROSCO
Middle Name:ROBERT
Last Name:FINGAR
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 ROWLAND ST
Mailing Address - Street 2:
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-2566
Mailing Address - Country:US
Mailing Address - Phone:518-885-6514
Mailing Address - Fax:518-885-6514
Practice Address - Street 1:93 ROWLAND ST
Practice Address - Street 2:
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020-2566
Practice Address - Country:US
Practice Address - Phone:518-885-6514
Practice Address - Fax:518-885-6514
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY640Q048253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care