Winicki, Raymond E

Winicki, Raymond E is an individual health care provider with primary practice located at 171 Grandview Ave Ste 201, Waterbury CT 06708-2520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Winicki, Raymond E can be contacted via phone (203) 578-4630.

Contact Information

Primary practice address
171 Grandview Ave Ste 201 Waterbury CT 06708-2520
Fax: (203) 578-4629
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 040374 Connecticut

Profile Details

NPI number 1720083421
LBN Legal business name Winicki, Raymond E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jun 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720083421 NPPES
Connecticut MEDICAID 001403740

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