MEDICARE: MRS. STACEY M WINK M.S.

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	174400000X	Specialist	604836121	NY

General Provider Information

NPI Number	:	1346585742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STACEY M WINK M.S.

Provider Business Mailing Address
First Line	:	1127 OLD NORTHERN BLVD
Second Line	:
City	:	ROSLYN
State	:	NY
Zip	:	11576-1607
Country	:	US
Telephone Number	:	516-484-8434
Fax Number	:

Provider Business Practice Location Address
First Line	:	1127 OLD NORTHERN BLVD
Second Line	:
City	:	ROSLYN
State	:	NY
Zip	:	11576-1607
Country	:	US
Telephone Number	:	516-484-8434
Fax Number	:

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

Provider Enumeration Date	:	12/11/2012
Last Update Date	:	02/07/2013

Similar Medicare Providers

1346184645 — HALEY SIMON
Practice Location Address:

64 GREAT OAKS RD
ROSLYN HEIGHTS, NY
11577-1607

Practice Phone: 917-453-8275
Practice Fax:

1255615795 — SAMANTHA RACHEL SOHMER LCSW
Practice Location Address:

86 GREAT OAKS RD
ROSLYN HEIGHTS, NY
11577-1607

Practice Phone: 516-484-0650
Practice Fax:

1336083302 — CHRISTINE HUGHES RN
Practice Location Address:

100 PORT WASHINGTON BLVD
ROSLYN, NY
11576-1347

Practice Phone: 516-562-6000
Practice Fax:

1508604877 — KELSEY HOPE CHIELLINI PA-C
Practice Location Address:

100 PORT WASHINGTON BLVD
ROSLYN, NY
11576-1347

Practice Phone: 516-562-6000
Practice Fax:

1215215355 — DR. JESSICA NEWBURGER D.O
Practice Location Address:

1045 NORTHERN BLVD FL 2
ROSLYN, NY
11576-1502

Practice Phone: 516-279-2616
Practice Fax: 516-279-2632

1093657751 — LONG ISLAND JEWISH FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRAC
Practice Location Address:

100 PORT WASHINGTON BLVD
ROSLYN, NY
11576-1347

Practice Phone: 516-608-6820
Practice Fax: 516-562-3675

Directions to “ MRS. STACEY M WINK M.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.