Waltzer, Wayne

Waltzer, Wayne is an individual health care provider with primary practice located at 24 Research Way Suite 500, East Setauket NY 11733-3453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Waltzer, Wayne can be contacted via phone (631) 444-6270.

Contact Information

Primary practice address
24 Research Way Suite 500 East Setauket NY 11733-3453
Phone: (631) 444-6270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 139086 New York

Profile Details

NPI number 1497782189
LBN Legal business name Waltzer, Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1497782189 NPPES
New York MEDICAID 00496066
New York Other 0388S2
New York Other 4401701

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