National Provider Identifier

Wayne Russell Sharaf, MD

Wayne Russell Sharaf, MD is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Bath, NY and a listed phone number of (607) 776-8500.

NPI 1669412235Bath, NYEmergency Medicine Physician

Profile Overview

NPI
1669412235
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
June 08, 2006
Last Updated
February 09, 2011

Practice Location

  • 7571 State Route 54
  • Bath, NY 14810-9504

Phone: (607) 776-8500

Mailing Address

  • 3971 Preemption RD
  • Watkins Glen, NY 14891-9766

Specialties

  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1669412235
Entity Type
Individual
Last Name
Sharaf
First Name
Wayne
Middle Name
Russell
Credential
MD
Mailing Street Address
3971 Preemption RD
Mailing City
Watkins Glen
Mailing State
NY
Mailing ZIP Code
14891-9766
Mailing Country
US
Mailing Phone
(607) 535-7983
Practice Street Address
7571 State Route 54
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-9504
Practice Country
US
Practice Phone
(607) 776-8500
Practice Fax
(607) 776-8837
Enumeration Date
June 08, 2006
Last Updated
February 09, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X)