Provider Demographics
NPI:1336261692
Name:WINOKUR, JULES A (MD)
Entity Type:Individual
Prefix:DR
First Name:JULES
Middle Name:A
Last Name:WINOKUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 EAST 71 STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-650-0400
Mailing Address - Fax:212-288-4223
Practice Address - Street 1:178 EAST 71 STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-650-0400
Practice Address - Fax:212-288-4223
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242273207W00000X
IL36117751207W00000X
NY242273-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02977448Medicaid
133626169ZMedicare PIN
NY02977448Medicaid