MEDICARE: WINSTON MEDICAL PC

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	207QS0010X	Sports Medicine (Family Medicine) Physician	232881	NY

General Provider Information

NPI Number	:	1588104855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINSTON MEDICAL PC

Provider Business Mailing Address
First Line	:	10814 72ND AVE STE 4
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10814 72ND AVE STE 4
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5301
Country	:	US
Telephone Number	:	718-520-8480
Fax Number	:

Authorized Official
Title or Position	:	SUPERVISOR
Name	:	MIKE SIERRA
Credential	:
Telephone Number	:	718-520-8480

Provider Enumeration Date	:	03/06/2017
Last Update Date	:	03/06/2017

Similar Medicare Providers

1861326605 — TIFFANY L SALMON NP
Practice Location Address:

10814 72ND AVE STE 4
FOREST HILLS, NY
11375-5301

Practice Phone: 718-520-8480
Practice Fax:

1689869786 — ROBERT ROTHSTEIN, MD PC
Practice Location Address:

10814 72ND AVE , 2ND FLOOR
FOREST HILLS, NY
11375-5301

Practice Phone: 718-261-2727
Practice Fax: 718-261-5302

1871756569 — GREGOIRY H SILVER MD PC
Practice Location Address:

10814 72ND AVE
FOREST HILLS, NY
11375-5301

Practice Phone: 914-346-5175
Practice Fax: 914-346-5176

1427207760 — MR. JEAN CARLOS OSORIO LCSW
Practice Location Address:

10814 72ND AVE STE 2
FOREST HILLS, NY
11375-5301

Practice Phone: 347-361-8428
Practice Fax:

1083865992 — METRO CHIROPRACTIC, P.C.
Practice Location Address:

10814 72ND AVE , 4TH FLOOR
FOREST HILLS, NY
11375-5301

Practice Phone: 718-520-8480
Practice Fax: 718-261-7886

1013158765 — FORREST HILLS MEDICAL OF NEW YORK PC
Practice Location Address:

10814 72ND AVE , SUITE 4
FOREST HILLS, NY
11375-5301

Practice Phone: 914-346-5175
Practice Fax: 914-346-5176

Directions to “WINSTON MEDICAL PC ” 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.