Provider Demographics
NPI:1558606186
Name:WINTHROP UNIVERSITY HOSPITAL
Entity Type:Organization
Organization Name:WINTHROP UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PISCOTTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-724-5876
Mailing Address - Street 1:8141 268TH ST
Mailing Address - Street 2:
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1545
Mailing Address - Country:US
Mailing Address - Phone:516-417-7055
Mailing Address - Fax:
Practice Address - Street 1:8141 268TH ST
Practice Address - Street 2:
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1545
Practice Address - Country:US
Practice Address - Phone:517-417-7055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-08
Last Update Date:2012-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0809320174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty