Provider Demographics
NPI:1144480831
Name:WINIKOFF, BEVERLY (MD)
Entity type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:
Last Name:WINIKOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 E 26TH ST
Mailing Address - Street 2:801
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1505
Mailing Address - Country:US
Mailing Address - Phone:212-448-1230
Mailing Address - Fax:212-448-1260
Practice Address - Street 1:15 E 26TH ST
Practice Address - Street 2:801
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1505
Practice Address - Country:US
Practice Address - Phone:212-448-1230
Practice Address - Fax:212-448-1260
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1212822083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine