Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | 128857 | OH |
N | 207YS0123X | Facial Plastic Surgeon | 266719 | NY |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 266719 | NY |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 266719 | NY |
NPI | 1194988782 |
---|---|
Provider Name | Dr. Ryan Winters |
First Address | Cleveland, OH 44113-4680 |
Second Address | Syracuse, NY 13210-2342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 09/07/2016 |