Individual
WAYNE REIZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 BELLE TERRE RD STE 204, PORT JEFFERSON, NY 11777-1977
(316) 474-0008
Mailing address
1101 STEWART AVE, GARDEN CITY, NY 11530-4892
(516) 536-2800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
284345
NY
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
384345
NY
Other
Enumeration date
04/06/2014
Last updated
01/11/2024
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