Individual
JACK WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1468 MADISON AVE FL 3, NEW YORK, NY 10029-6508
(844) 733-7692
Mailing address
442 LORIMER ST APT 14, BROOKLYN, NY 11206-1027
(860) 682-4399
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383624
NY
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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