Individual
TIN TIN WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1075 CENTRAL PARK AVE, STE 107, SCARSDALE, NY 10583-3241
(800) 750-8616
(845) 362-8474
Mailing address
26 FIREMANS MEMORIAL DR, 115, POMONA, NY 10970-3569
(800) 750-8616
(845) 362-8474
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2126263
NY
Other
Enumeration date
04/11/2007
Last updated
01/03/2016
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