Individual
WYANNE LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1233 YORK AVE APT 19L, NEW YORK, NY 10065-6342
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
P114734
NY
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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