Provider Demographics
NPI:1093809683
Name:WINTER, DUNCAN FORBES (MD, FACS)
Entity Type:Individual
Prefix:
First Name:DUNCAN
Middle Name:FORBES
Last Name:WINTER
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983
Mailing Address - Country:US
Mailing Address - Phone:518-891-5189
Mailing Address - Fax:518-891-1992
Practice Address - Street 1:86 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983
Practice Address - Country:US
Practice Address - Phone:518-891-5189
Practice Address - Fax:518-891-1992
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168303207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01221732Medicaid
4155120001OtherMEDICARE DME
180038045OtherRR MEDICARE
180038045OtherRR MEDICARE
180038045OtherRR MEDICARE
NY01221732Medicaid
NY4155120001Medicare NSC
4155120001OtherMEDICARE DME