Wynn, San San

Wynn, San San is an sole proprietor health care provider with primary practice located at 56 Hamilton Dr , Roslyn NY 11576-3129. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Wynn, San San can be contacted via phone (718) 498-5754.

Contact Information

Primary practice address
56 Hamilton Dr Roslyn NY 11576-3129
Phone: (718) 498-5754
Fax: (718) 498-0950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 220806 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 220806 New York

Profile Details

NPI number 1083687289
LBN Legal business name Wynn, San San
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Apr 9th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083687289 NPPES
New York MEDICAID 01864988

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