SAN SAN WYNN, M.D., P.C. (NPI# 1699945642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699945642 |
| Entity Type | Organization |
| Organization Name | SAN SAN WYNN, M.D., P.C. |
| Practice Address |
723 E 87th St Brooklyn NY 11236-3620 |
| Mailing Address |
56 Hamilton Dr Roslyn NY 11576-3129 |
| Practice Telephone | 7184985754 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-07-12 |
| Authorized Official Name | DR. SAN SAN WYNN (PRESIDENT) |
| Authorized Official Telephone | 7184985754 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
220806 | NY | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SAN SAN WYNN, M.D., P.C. | 723 East 87th Street 2nd Fl, Brooklyn, Ny 11236 |
| Street Address |
723 E 87TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11236-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
| 1659996080 | Elina Fils Aime | Licensed Practical Nurse | 8 Parter Gate 15, Brooklyn, NY 11236 | 2020-06-11 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1114559309 | Jonathan Eisen Dc, PC | Chiropractor | 9207 Flatlands Ave, Brooklyn, NY 11236 | 2020-02-06 |
| 1508497462 | New Direction Supportive Services | Clinic/Center | 1123 East 100th Street, Brooklyn, NY 11236 | 2020-01-30 |
| 1073151544 | Belinda Clesidor | Registered Nurse | 1200 E 5519 St, Brooklyn, NY 11236 | 2019-12-16 |
| 1154898880 | Shanice A Mcghie | Licensed Practical Nurse | 718 East 84th Street, Brooklyn, NY 11236 | 2018-10-31 |
| 1891286241 | Casandra Christine Gibbs | Licensed Practical Nurse | 1380 East 84th Stree, 2 Fl, Brooklyn, NY 11236 | 2018-05-22 |
| 1942707161 | Suzette Rebecca Ryan | Registered Nurse | 1009 E 86th Street, 3rd Floor, Brooklyn, NY 11236 | 2018-04-13 |
| 1275045395 | Danica Noel-sylvester | Nurse Practitioner | 6565 Flatlands Ave Rm C-150, Brooklyn, NY 11236 | 2017-10-30 |
| Find all providers in zip 11236 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437675154 | Feng Hematology and Medical Oncology Pllc | Internal Medicine | 833 58th Street, Brooklyn, NY 11220 | 2017-08-15 |
| 1174992184 | Tetyana Koulikova | Internal Medicine | 2272 63rd St Apt 2f, Brooklyn, NY 11204-3153 | 2015-09-20 |
| 1215222005 | Jason William Steinberg | Internal Medicine | 1523 Voorhies Ave Fl 3, Brooklyn, NY 11235-3912 | 2011-06-09 |
| 1013214535 | Songchuan Guo | Internal Medicine | 757 60th St Fl 5, Brooklyn, NY 11220-4209 | 2011-02-18 |
| 1528216264 | Valeria Kreyner | Internal Medicine | 500 4th Avneue, Suite 1, Brooklyn, NY 11215 | 2008-09-06 |
| 1962663674 | Nidhi Mishra | Internal Medicine | 395 Lenox Road, Suny Downstate Medical Center, Brooklyn, NY 11203-2098 | 2008-06-24 |
| 1942491337 | Mikhail Khazan | Internal Medicine | 2626 Kings Hwy Apt 4b, Brooklyn, NY 11229-1777 | 2007-08-09 |
| 1184835035 | Jason Parker Gonsky | Internal Medicine | 451 Clarkson Ave Building A Fl 7, Kings County Hospital Center, Brooklyn, NY 11203-2054 | 2007-05-24 |
| 1336230259 | Tae K Park | Internal Medicine | 724 8th Ave, Brooklyn, NY 11215-4204 | 2006-09-27 |
| 1669579652 | Phyllis S. Hyde | Internal Medicine | 46 Livingston St, Brooklyn, NY 11201-4812 | 2006-09-20 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.