Dejuan Wynn, OPTICIAN
NPI 1184805764 · on the registry since 2007
Practice
- Address
- 167 Lenox Ave
New York, NY 10026 - Phone
- (212) 222-6100
- Fax
- (212) 222-6606
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York