Basic Information
Provider Information
NPI: 1285638007
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WOLINSKY
FirstName: STEVEN
MiddleName: C
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 425 W 3RD AVE
Address2: SUITE 600
City: ALBANY
State: GA
PostalCode: 317011941
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 500 W 3RD AVE
Address2: SUITE 101
City: ALBANY
State: GA
PostalCode: 317011985
CountryCode: US
TelephoneNumber: 2293125800
FaxNumber: 2293125853
Other Information
ProviderEnumerationDate: 06/09/2005
LastUpdateDate: 12/27/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X47175GAN Other Service ProvidersSpecialist 
207RC0000X047175GAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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