Individual
MR. ANTON ROY WINEMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 774-3052
Mailing address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 774-3037
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020791
NY
Other
Enumeration date
05/17/2016
Last updated
09/04/2024
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