Organization
WINTHROP COMMUNITY MEDICAL AFFILIATES PC
Active
Other names
NYU Winthrop Diabetes Self-Management Program
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SADOWSKY (CREDENTIALING MANAGER)
(516) 663-8919
Entity
Organization
Contact information
Practice address
101 MINEOLA BLVD STE 210, MINEOLA, NY 11501-4089
(516) 663-3511
Mailing address
700 HICKSVILLE RD STE 204, BETHPAGE, NY 11714-3472
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04867401
—
NY
Enumeration date
06/15/2018
Last updated
06/15/2018
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