Most Relevant Information
Provider Data
| NPI Number: | 1720081771 |
| Provider Name: | RICHARD R WAYNE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 208466 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 03/25/2010 |
Provider Practice Location
961 CANAL ST
SYRACUSE
NY
132101203
Practice Location Phone/Fax
| Phone: | 3154781977 |
| Fax: |
Provider Mailing Location
961 CANAL ST
SYRACUSE
NY
132101203
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |