Provider Demographics
NPI:1710355367
Name:WINIKER, JANICE ROBIN
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:ROBIN
Last Name:WINIKER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:TUOZZO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:19 E ROGUES PATH
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-2009
Mailing Address - Country:US
Mailing Address - Phone:631-254-0094
Mailing Address - Fax:
Practice Address - Street 1:762 DEER PARK ROAD
Practice Address - Street 2:JAMES E ALLEN ELEMENTARY SCHOOL
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746
Practice Address - Country:US
Practice Address - Phone:631-254-0094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-11
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004482235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist