MEDICARE: WINSTON JOSEPH C.R.N.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	487175	NY

General Provider Information

NPI Number	:	1346246378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WINSTON JOSEPH C.R.N.A.

Provider Business Mailing Address
First Line	:	66 POWERHOUSE RD
Second Line	:	3RD FLOOR
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1324
Country	:	US
Telephone Number	:	516-945-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 DREISER LOOP APT 2B
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-2661
Country	:	US
Telephone Number	:	718-671-1024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	07/08/2007

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