Provider Demographics
NPI:1750806246
Name:WINTER, ALISON TRACEY (MASTERS SOCIAL WORK)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:TRACEY
Last Name:WINTER
Suffix:
Gender:F
Credentials:MASTERS SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-2730
Mailing Address - Country:US
Mailing Address - Phone:516-375-3853
Mailing Address - Fax:
Practice Address - Street 1:200 RAILROAD AVENUE
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782
Practice Address - Country:US
Practice Address - Phone:516-375-3853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor