Linda Wynne RPAC

NPI 1043231699 - Physician Assistant - 363AM0700X

NPI Details
NPI 1043231699
Gender Female
Enumeration Date 07/21/2006
Last Updated 09/16/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
815 HALLOCK AVE
PORT JEFFERSON STATION NY, 11776-1220, US
Phone (631) 331-7267
Fax
Business Location
22 SILAS WOODS RD
MANORVILLE NY, 11949-3053, US
Phone
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 006266-1
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According to our database, Linda Wynne RPAC NPI is 1043231699, taxonomy code is 363AM0700X and license number is 006266-1, license state is located at New York. Linda Wynne RPAC physically located at 815 Hallock Ave, Port Jefferson Station NY, 11776-1220. NPI Number Linda Wynne RPAC has the Individual type.

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1043231699 NPI number is provided on an as is basis without warranty of any kind. 1043231699 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Wynne RPAC are for informational purposes only.