Provider Demographics
NPI:1750389763
Name:NYU WINTHROP HOSPITAL
Entity type:Organization
Organization Name:NYU WINTHROP HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:516-663-0333
Mailing Address - Street 1:200 OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4235
Mailing Address - Country:US
Mailing Address - Phone:516-663-9020
Mailing Address - Fax:516-663-9035
Practice Address - Street 1:141 DOSORIS LN
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-1225
Practice Address - Country:US
Practice Address - Phone:516-663-9020
Practice Address - Fax:516-663-9035
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINTHROP UNIVERSITY HOSPITAL ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-13
Last Update Date:2017-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2908000H261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00244211Medicaid
NY333538Medicare ID - Type Unspecified