Provider Demographics
NPI:1578604096
Name:WINKEL, MARC (RPH)
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:
Last Name:WINKEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:208 HARRIS RD
Mailing Address - Street 2:UNIT CB-1
Mailing Address - City:BEDFORD HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10507-2125
Mailing Address - Country:US
Mailing Address - Phone:914-241-2747
Mailing Address - Fax:914-241-2747
Practice Address - Street 1:400 E MAIN ST
Practice Address - Street 2:5 FLOOR
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3417
Practice Address - Country:US
Practice Address - Phone:914-666-1921
Practice Address - Fax:914-241-8997
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0260511835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology