Provider Demographics
NPI:1336694306
Name:WINKELMAN, WARREN JAY (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:JAY
Last Name:WINKELMAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 E 29TH ST FL 11
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8367
Mailing Address - Country:US
Mailing Address - Phone:817-692-2321
Mailing Address - Fax:
Practice Address - Street 1:430 E 29TH ST FL 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8367
Practice Address - Country:US
Practice Address - Phone:817-692-2321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168892-1207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology