Provider Demographics
NPI:1114097094
Name:WINDSOR TING, MD
Entity Type:Organization
Organization Name:WINDSOR TING, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:WINDSOR
Authorized Official - Middle Name:
Authorized Official - Last Name:TING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-343-1974
Mailing Address - Street 1:PO BOX 430
Mailing Address - Street 2:PECK SLIP STATIONRK
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10272-0430
Mailing Address - Country:US
Mailing Address - Phone:212-343-1974
Mailing Address - Fax:212-343-3299
Practice Address - Street 1:128 MOTT ST STE 701
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-5575
Practice Address - Country:US
Practice Address - Phone:212-343-1974
Practice Address - Fax:212-343-3299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1432382086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD13676Medicare UPIN