Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 000215 | CT |
N | 222Z00000X | Podiatrist | 000215 | CT |
Y | 213ES0131X | Foot Surgery | CT000215 | CT |
NPI | 1164471561 |
---|---|
Provider Name | Dr. Marilyn M Vinokur |
First Address | Waterbury, CT 06708-3106 |
Second Address | Waterbury, CT 06708-3106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 21/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004068821(GROUP) | (05) | CT |
030000215CT01 | BLUECROSS/BLUESHIELD (01) | CT |
061060793 | TAX ID (01) | CT |
061060793 | UNITED HEALTHCARE (01) | CT |
061060793008 | CIGNA (01) | CT |
29528 | WELLCARE (01) | CT |
508832 | AETNA (01) | CT |
760793 | CONNECTICARE (01) | CT |
NHS335 | OXFORD (01) | CT |
OR0932 | ACS HEALTHNET (01) | CT |
PBW42 | EMPIRE BC (01) | NY |
T22081 | (02) | CT |