Provider Demographics
NPI:1447620653
Name:WINFIELD, HOWARD (RN)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:
Last Name:WINFIELD
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 HICKORY AVE
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-1547
Mailing Address - Country:US
Mailing Address - Phone:201-816-0722
Mailing Address - Fax:
Practice Address - Street 1:239 HICKORY AVE
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-1547
Practice Address - Country:US
Practice Address - Phone:201-816-0722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY468329163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse