Individual
REESE A WAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MINEOLA BLVD, SUITE 300, MINEOLA, NY 11501-4073
(516) 663-4400
(516) 663-4404
Mailing address
120 MINEOLA BLVD, SUITE 300, MINEOLA, NY 11501-4073
(516) 663-4400
(516) 663-4404
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
194340-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01863969
—
NY
Enumeration date
11/18/2005
Last updated
05/11/2026
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