Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 002131 | NY |
NPI | 1013660943 |
---|---|
Provider Name | Roxanne Winston |
First Address | Brooklyn, NY 11216-2904 |
Second Address | Bronx, NY 10461-1197 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2022 |
Last Update Date | 31/01/2022 |