Individual
MR. WAYNE LUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911 PARK AVE, SUITE 1A, NEW YORK, NY 10021-0337
(212) 772-7242
Mailing address
901 STEWART AVE, STE 201, GARDEN CITY, NY 11530-4883
(212) 772-7242
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
224349
NY
Other
Enumeration date
07/17/2006
Last updated
05/15/2017
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