Individual
DR. WINNIE AU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 W 168TH ST, MC28, NEW YORK, NY 10032-3725
(212) 305-1948
(212) 305-5777
Mailing address
630 W 168TH ST, MC28, NEW YORK, NY 10032-3725
(212) 305-1948
(212) 305-5777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
226923
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02780138
—
NY
01
—
1107003
MEDICAID GROUP#
NY
01
—
1114977998
PROVIDER NPI#
NY
01
—
1467560854
MEDICARE GROUP NPI
NY
01
—
W35021
MEDICARE GROUP#
NY
Enumeration date
05/11/2006
Last updated
01/07/2008
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