Provider Demographics
NPI:1730620923
Name:WINIK, BARI DANIELLE (MD)
Entity type:Individual
Prefix:
First Name:BARI
Middle Name:DANIELLE
Last Name:WINIK
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 1:4 MUNCY DR
Mailing Address - Street 2:
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1117
Mailing Address - Country:US
Mailing Address - Phone:732-233-8171
Mailing Address - Fax:
Practice Address - Street 1:4 MUNCY DR
Practice Address - Street 2:
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1117
Practice Address - Country:US
Practice Address - Phone:732-233-8171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303642208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics