Provider Demographics
NPI:1023014388
Name:CHRIST, WINIFRED R (DSW)
Entity Type:Individual
Prefix:DR
First Name:WINIFRED
Middle Name:R
Last Name:CHRIST
Suffix:
Gender:F
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5535
Mailing Address - Country:US
Mailing Address - Phone:914-295-2660
Mailing Address - Fax:914-909-5840
Practice Address - Street 1:150 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5535
Practice Address - Country:US
Practice Address - Phone:914-295-2660
Practice Address - Fax:914-909-5890
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR003040-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY137890OtherVALUE OPTIONS
NYP724762OtherOXFORD
NY5862332OtherAETNA
NY1023014388OtherEMPIRE BC/BS
NY209673352OtherUNITED BEHAVIORAL HEALTH
NY210306OtherMHN
NY5862332OtherAETNA