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

San San Wynn, MD

Individual provider Internal Medicine Physician · NPI 1083687289

San San Wynn, MD is a Hematology/Oncology in Roslyn, New York. Qualified in 1984, 42 years ago. Practices with North Shore Hematology Oncology Associates PC, a 473-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
42
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

56 Hamilton Dr
Roslyn, NY 11576-3129
Phone: (718) 498-5754
Fax: (718) 498-0950
Show map & directions

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

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 220806 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 220806 (NY)

Record details

NPI number1083687289
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 8, 2006
Last updated in NPPESApril 9, 2014

Medicare enrollment

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

Medicare specialtyHEMATOLOGY/ONCOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice North Shore Hematology Oncology Associates Pc — 473 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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