Individual
DR. JONATHAN B WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 305-2700
(914) 305-2701
Mailing address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 305-2700
(914) 305-2701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
147034
NY
207RC0000X
Cardiovascular Disease Physician
Primary
147034
NY
Other
Enumeration date
06/27/2006
Last updated
09/04/2015
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