Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 308529 | NY |
NPI | 1053742452 |
---|---|
Provider Name | Dr. Wynn Htun |
First Address | New York, NY 10016-5563 |
Second Address | New York, NY 10016-5563 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2013 |
Last Update Date | 03/07/2021 |