Provider Demographics
NPI:1265454649
Name:SIGNATURE HEALTH CENTER
Entity Type:Organization
Organization Name:SIGNATURE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-537-1100
Mailing Address - Street 1:445 WESTBURY BLVD
Mailing Address - Street 2:ATTENTION: ELMER REMON
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550
Mailing Address - Country:US
Mailing Address - Phone:516-683-3900
Mailing Address - Fax:516-483-3517
Practice Address - Street 1:220 EAST 161 STREET
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-537-1100
Practice Address - Fax:718-537-7021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service