Individual
CLARE WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7679
(718) 992-7669
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3467
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
324216
NY
Other
Enumeration date
04/05/2020
Last updated
09/11/2023
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