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PETER JAMES WYNNE PA NPI 1215111455


NPI Information

NPI: 1215111455
Provider Name: PETER JAMES WYNNE, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
2154 NEWBRIDGE RD
BELLMORE, NY
ZIP 11710
Phone: (516) 221-0225
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Peter James Wynne, PA is a physician assistant in Bellmore, NY. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Peter James Wynne, PA NPI is 1215111455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2154 NEWBRIDGE RD
BELLMORE, NY
ZIP 11710-239
Phone: (516) 221-0225
Fax: (516) 409-9766

The enumeration date for this NPI number is 12/24/2007 and was last updated on 12/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant006953NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P06430MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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