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Contact Information

WYMAN BETHUNE, MD
UNIVERSITY HOSPITAL L2
STONY BROOK, NY11794-0001
 Phone: 631-444-2210
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for WYMAN BETHUNE · (Male)

NPI # 1144268756
Status Active
Credentials MD
Entity Individual
Enumeration date 06/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 169300
  • NY Medicaid 01129419
  • NY Other 4323856 AETNA
  • NY Other 36E292 EMPIRE B/C B/S
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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