Provider Demographics
NPI:1093901381
Name:WINSLOW, BARBARA ANNA (L AC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANNA
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 E 2ND ST APT 6D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2373
Mailing Address - Country:US
Mailing Address - Phone:718-871-5363
Mailing Address - Fax:718-871-5363
Practice Address - Street 1:199 E 2ND ST APT 6D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2373
Practice Address - Country:US
Practice Address - Phone:718-871-5363
Practice Address - Fax:718-871-5363
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003087-1261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain