Individual
ORVILLE WAYNE MCLENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
294 W MERRICK RD, SUITE 2, FREEPORT, NY 11520-3374
(516) 378-0123
(516) 378-0148
Mailing address
294 W MERRICK RD, SUITE 2, FREEPORT, NY 11520-3374
(516) 378-0123
(516) 378-0148
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
199719-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01927926
—
NY
Enumeration date
11/04/2005
Last updated
04/23/2010
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