Provider Demographics
NPI:1134558943
Name:DWINT FAMILY HEALTH CARE NP, PLLC
Entity type:Organization
Organization Name:DWINT FAMILY HEALTH CARE NP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:ANNMARIE
Authorized Official - Last Name:WINT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:718-926-6335
Mailing Address - Street 1:PO BOX 360158
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-0158
Mailing Address - Country:US
Mailing Address - Phone:888-709-9346
Mailing Address - Fax:347-275-2035
Practice Address - Street 1:8212 AVENUE J
Practice Address - Street 2:TOP FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3818
Practice Address - Country:US
Practice Address - Phone:888-709-9346
Practice Address - Fax:347-275-2035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-03
Last Update Date:2013-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY334866261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care