Provider Demographics
NPI:1972041895
Name:WINKELSTEIN, RAE (RN)
Entity Type:Individual
Prefix:
First Name:RAE
Middle Name:
Last Name:WINKELSTEIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RAE ANN
Other - Middle Name:
Other - Last Name:WINKELSTEIN-DUVENECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1380 RIVERSIDE DR
Mailing Address - Street 2:APT. 7B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1001
Mailing Address - Country:US
Mailing Address - Phone:319-930-9236
Mailing Address - Fax:
Practice Address - Street 1:1380 RIVERSIDE DR
Practice Address - Street 2:APT. 7B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-1001
Practice Address - Country:US
Practice Address - Phone:319-930-9236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-11
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY717449163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse