Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marilyn Wan

Individual provider Dermatology Physician · NPI 1710504816

Marilyn Wan is a Dermatology in New Hyde Park, New York. Qualified in 2011, 15 years ago. Practices with Bobby Buka, MD, PC, a 143-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2020

Practice location Address checks out

1991 Marcus Ave
New Hyde Park, NY 11042-2057
Phone: (516) 321-8509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 — (617) 676-5452

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 333202 (NY)

Record details

NPI number1710504816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2020
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Bobby Buka, M.D., P.C. — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Hyde Park