Winkler, Ian M

Winkler, Ian M is an individual health care provider with primary practice located at 640 Hawkins Ave , Ronkonkoma NY 11779-2324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Winkler, Ian M can be contacted via phone (631) 737-0100.

Contact Information

Primary practice address
640 Hawkins Ave Ronkonkoma NY 11779-2324
Phone: (631) 737-0100
Fax: (631) 471-1000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 161964 New York

Profile Details

NPI number 1699703843
LBN Legal business name Winkler, Ian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Oct 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699703843 NPPES
New York MEDICAID 01723546

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