MEDICARE: ERICA WINSLOW RN

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	163WP0807X	Child & Adolescent Psychiatric/Mental Health Registered Nurse	706839	NY

General Provider Information

NPI Number	:	1366308827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA WINSLOW RN

Provider Business Mailing Address
First Line	:	8 BERKSHIRE DR
Second Line	:
City	:	BALLSTON SPA
State	:	NY
Zip	:	12020-2496
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 BERKSHIRE DR
Second Line	:
City	:	BALLSTON SPA
State	:	NY
Zip	:	12020-2496
Country	:	US
Telephone Number	:	631-827-8939
Fax Number	:	631-827-8939

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

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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