Individual
DR. MARK WINOGRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21 JOY DR, MANHASSET HILLS, NY 11040-1108
(516) 361-3131
Mailing address
21 JOY DR, MANHASSET HILLS, NY 11040-1108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003685
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00342003
—
NY
Enumeration date
08/23/2009
Last updated
08/23/2009
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