JESSICA VINOKUR, DPM, Surgery, Foot & Ankle WATERBURY, CT

Contact Information

JESSICA VINOKUR, DPM

1211 W MAIN ST
WATERBURY, CT 06708-3106

Phone: 203-755-2050
Fax: 203-755-0131
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for JESSICA VINOKUR · (Female)

NPI Number	`1588810386`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	08/12/2008
Last updated	08/21/2012 - About 14 years ago
Sole proprietor ¹	Yes
Identifiers	CT License # CT000872 MA License # 1221
Hospital affiliation(s)	SAINT MARYS HOSPITAL - (Acute Care) 56 FRANKLIN ST WATERBURY, CT 06706

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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