Wynne-Brosius, Janet

Wynne-Brosius, Janet is an individual health care provider with primary practice located at 19 Bradhurst Ave Suite 200N, Hawthorne NY 10532-2140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wynne-Brosius, Janet can be contacted via phone (914) 493-7701.

Contact Information

Primary practice address
19 Bradhurst Ave Suite 200N Hawthorne NY 10532-2140
Fax: (914) 345-0652
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006717 New York

Profile Details

NPI number 1568462794
LBN Legal business name Wynne-Brosius, Janet
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Dec 17th, 2021 - about 5 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 1568462794 NPPES
New York Other A400066198 MEDICARE PTAN
New York Other A400066199 MEDICARE PTAN
New York MEDICAID 02085894 MEDICARE PTAN

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