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NPI 1780732974

NPI 1780732974 : WILLIAM ROSS WINTER M.D. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1780732974
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM ROSS WINTER M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/06/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    315 CENTRAL PARK W APT 1C 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10025-7655
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    Country              |    US
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    Telephone            |    212-877-3600
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    Fax                  |    718-672-7086
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Provider Business Mailing Address
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    Address Line         |    150 CHESTNUT DR 
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    City                 |    ROSLYN
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    State                |    NY
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    Zip                  |    11576-2301
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    Country              |    US
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    Telephone            |    917-539-6669
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    Fax                  |    718-672-7086
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    221172
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    License Number State |    NY
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