Provider Demographics
NPI:1417984642
Name:WINTERS, ANN I (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:I
Last Name:WINTERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 AMSTERDAM AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6901
Mailing Address - Country:US
Mailing Address - Phone:212-865-4104
Mailing Address - Fax:
Practice Address - Street 1:690 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6901
Practice Address - Country:US
Practice Address - Phone:212-865-4104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2122171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H89955Medicare UPIN
NY0105AKMedicare ID - Type UnspecifiedGHI
NY0105AJMedicare ID - Type UnspecifiedGHI
NY975291Medicare ID - Type UnspecifiedEMPIRE