MEDICARE: MRS. JUNE FLORY WINKLER MD

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	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	25MA01479500	NJ

General Provider Information

NPI Number	:	1376757112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUNE FLORY WINKLER MD

Provider Business Mailing Address
First Line	:	202 PATERSON AVENUE
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-2114
Country	:	US
Telephone Number	:	201-288-1819
Fax Number	:	201-288-5220

Provider Business Practice Location Address
First Line	:	202 PATERSON AVENUE
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-2114
Country	:	US
Telephone Number	:	201-288-1819
Fax Number	:	201-288-5220

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/08/2007

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