Provider Demographics
NPI:1689766966
Name:WINTER-ROMER, WENDY R (PHD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:R
Last Name:WINTER-ROMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:241 CENTRAL PARK W
Mailing Address - Street 2:APT 1H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4567
Mailing Address - Country:US
Mailing Address - Phone:212-580-5055
Mailing Address - Fax:212-580-0660
Practice Address - Street 1:241 CENTRAL PARK W
Practice Address - Street 2:APT 1H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4567
Practice Address - Country:US
Practice Address - Phone:914-309-2966
Practice Address - Fax:212-580-0660
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014164-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1000046082OtherBEACON
NYP2350914OtherOXFORD
NY1000046082OtherBEACON
NY7339896Medicare UPIN
NYP2350914OtherOXFORD