Provider Demographics
NPI:1902367261
Name:ZIMMERMAN-WINSLOW, KATIE-JOY FRANCES DYER (DO)
Entity Type:Individual
Prefix:DR
First Name:KATIE-JOY
Middle Name:FRANCES DYER
Last Name:ZIMMERMAN-WINSLOW
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MRS
Other - First Name:KATIE-JOY
Other - Middle Name:FRANCES DYER
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:4802 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2916
Mailing Address - Country:US
Mailing Address - Phone:718-283-6000
Mailing Address - Fax:
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2916
Practice Address - Country:US
Practice Address - Phone:718-283-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program