Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 219431 | NY |
N | 207T00000X | Neurosurgeon | 25MA07798600 | NJ |
NPI | 1013064948 |
---|---|
Provider Name | Dr. Christopher J Winfree |
First Address | New York, NY 10032-3726 |
Second Address | New York, NY 10032-3726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02577246 | (05) | NY |
I02145 | (02) | NY |