Provider Demographics
NPI:1588121545
Name:WINTERS, HANNAH PROCIDA
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:PROCIDA
Last Name:WINTERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:GIOSELYN SALTINA
Other - Last Name:PROCIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1134 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:14048-3423
Mailing Address - Country:US
Mailing Address - Phone:716-366-6036
Mailing Address - Fax:833-974-1991
Practice Address - Street 1:1134 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:NY
Practice Address - Zip Code:14048-3423
Practice Address - Country:US
Practice Address - Phone:716-366-6036
Practice Address - Fax:833-974-1991
Is Sole Proprietor?:No
Enumeration Date:2019-02-26
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315585-01208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics