Individual
SARAH JEAN VANWYNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
215 E 85TH ST, NEW YORK, NY 10028-3108
(646) 962-7398
Mailing address
215 E 85TH ST, NEW YORK, NY 10028-3108
(646) 962-7398
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
027746
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
11/03/2021
Last updated
08/28/2024
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