Teris, Wayne

Teris, Wayne is an individual health care provider with primary practice located at 4417 Vestal Pkwy E , Vestal NY 13850-3556. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Teris, Wayne can be contacted via phone (607) 729-2144.

Contact Information

Primary practice address
4417 Vestal Pkwy E Vestal NY 13850-3556
Phone: (607) 729-2144
Fax: (607) 729-2145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 169081 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 169081 New York

Profile Details

NPI number 1881695740
LBN Legal business name Teris, Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Feb 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881695740 NPPES
New York MEDICAID 01015214

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