Wain, Reese A
Wain, Reese A is an individual health care provider with primary practice located at 120 Mineola Blvd Suite 300, Mineola NY 11501-4073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wain, Reese A can be contacted via phone (516) 663-4400.Contact Information
Primary practice address
120 Mineola Blvd Suite 300
Mineola NY 11501-4073
Phone: (516) 663-4400
Fax: (516) 663-4404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 194340-1 | New York |
Profile Details
| NPI number | 1265414791 |
|---|---|
| LBN Legal business name | Wain, Reese A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Oct 27th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265414791 | NPPES |
| New York | MEDICAID | 01863969 |
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