Healthcare Provider Details

I. General information

NPI: 1053523118
Provider Name (Legal Business Name): BEDFORD HILLS PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 04/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701B NORTH BEDFORD ROAD
BEDFORD HILLS NY
10507
US

IV. Provider business mailing address

701B NORTH BEDFORD ROAD
BEDFORD HILLS NY
10507
US

V. Phone/Fax

Practice location:
  • Phone: 914-666-5100
  • Fax: 914-666-2258
Mailing address:
  • Phone: 914-666-5100
  • Fax: 914-666-2258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALAN P WINKLER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 914-666-5100