Organization
SAN SAN WYNN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAN SAN WYNN M.D. (PRESIDENT)
(718) 498-5754
Entity
Organization
Contact information
Practice address
723 E 87TH ST, BROOKLYN, NY 11236-3620
(718) 498-5754
Mailing address
56 HAMILTON DR, ROSLYN, NY 11576-3129
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
220806
NY
Other
Enumeration date
03/05/2008
Last updated
07/12/2008
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