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Organization
WINSTON MEDICAL PC
Active
Organization
WINSTON MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SIERRA (SUPERVISOR)
(718) 520-8480
Entity
Organization
Contact information
Practice address
10814 72ND AVE STE 4, FOREST HILLS, NY 11375-5301
(718) 520-8480
Mailing address
10814 72ND AVE STE 4, FOREST HILLS, NY 11375-5301
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
232881
NY
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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