Individual
CAROLYN WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 50TH STREET, BROOKLYN, NY 11219
(718) 435-6906
(718) 435-6908
Mailing address
1336 50TH STREET, BROOKLYN, NY 11219
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
018365
NY
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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