Individual
SAN SAN WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
56 HAMILTON DR, ROSLYN, NY 11576-3129
(718) 498-5754
(718) 498-0950
Mailing address
723 E 87TH ST, BROOKLYN, NY 11236-3620
(718) 498-5754
(718) 498-0950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220806
NY
207RH0003X
Hematology & Oncology Physician
Primary
220806
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01864988
—
NY
Enumeration date
02/08/2006
Last updated
04/09/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us