Individual
MARTIN WINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
158 EAST MAIN STREET, HUNTINGTON, NY 11743
(631) 427-1300
(631) 385-4506
Mailing address
158 EAST MAIN STREET, HUNTINGTON, NY 11743
(631) 427-1300
(631) 385-4506
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
0861301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00132852
—
NY
01
—
175881
BXBS
NY
Enumeration date
10/27/2006
Last updated
07/08/2007
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