Provider Demographics
NPI:1255605796
Name:WINDSOR MEDICAL. PC
Entity type:Organization
Organization Name:WINDSOR MEDICAL. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-393-6700
Mailing Address - Street 1:3 RONALD LN
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3201
Mailing Address - Country:US
Mailing Address - Phone:631-393-6700
Mailing Address - Fax:631-393-6699
Practice Address - Street 1:3 RONALD LN
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-3201
Practice Address - Country:US
Practice Address - Phone:631-393-6700
Practice Address - Fax:631-393-6699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2087372085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty