National Provider Identifier
Wayne Arnold Wallace, M.D.
Wayne Arnold Wallace, M.D. is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Hammondsport, NY and a listed phone number of (607) 292-3505.
Profile Overview
- NPI
- 1346340031
- Provider Type
- Individual
- Primary Specialty
- Cardiovascular Disease Physician
- Enumeration Date
- September 23, 2006
- Last Updated
- July 08, 2007
Practice Location
- 9521 Crystal Beach RD
- Hammondsport, NY 14840-9340
Phone: (607) 292-3505
Specialties
- Cardiovascular Disease Physician (207RC0000X)
Full Record
- NPI
- 1346340031
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Wayne
- Middle Name
- Arnold
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 9521 Crystal Beach RD
- Mailing City
- Hammondsport
- Mailing State
- NY
- Mailing ZIP Code
- 14840-9340
- Mailing Country
- US
- Mailing Phone
- (607) 292-3505
- Mailing Fax
- (607) 292-3505
- Practice Street Address
- 9521 Crystal Beach RD
- Practice City
- Hammondsport
- Practice State
- NY
- Practice ZIP Code
- 14840-9340
- Practice Country
- US
- Practice Phone
- (607) 292-3505
- Practice Fax
- (607) 292-3505
- Enumeration Date
- September 23, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Cardiovascular Disease Physician (207RC0000X)