LINDA WYNNE

PORT JEFFERSON STATION, NY
NPI1043231699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  006266-1)
Enumeration Date2006-07-21
Last Update Date2014-09-16
Business Address
-- LINDA WYNNE RPAC
815 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776-1220
Phone number: 631-331-7267
Mailing Address
-- LINDA WYNNE RPAC
22 SILAS WOODS RD
MANORVILLE, NY 11949-3053
Phone number:
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