Individual
JENNIFER PYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
STONY BROOK UNIVERSITY MEDICAL CTR, HSC T11 RM 020, STONY BROOK, NY 11794-8111
(631) 444-7920
Mailing address
PO BOX 1559, STONY BROOK UNIVERSITY MEDICAL CTR, STONY BROOK, NY 11790
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
245756
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
245756
NY
Other
Enumeration date
04/22/2008
Last updated
05/04/2015
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