Healthcare Provider Details

I. General information

NPI: 1407475338
Provider Name (Legal Business Name): TIMOTHY BRIAN WINSLOW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2020
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

535 HUXLEY DR
HUMMELSTOWN PA
17036-7068
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-5681
  • Fax: 585-274-1041
Mailing address:
  • Phone: 585-545-5625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number344070
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: