Healthcare Provider Details

I. General information

NPI: 1558421693
Provider Name (Legal Business Name): HARVEY WINKLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NSUH DEPT OF OB GYN UROGYNECOLOGY 865 NORTHERN BOULEVARD
GREAT NECK NY
11021
US

IV. Provider business mailing address

NSUH DEPT OF OB GYN UROGYNECOLOGY NSUH DEPT OF OB GYN UROGYNECOLOGY
GREAT NECK NY
11021
US

V. Phone/Fax

Practice location:
  • Phone: 516-622-5114
  • Fax:
Mailing address:
  • Phone: 516-622-5114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number198436
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: