Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 050272 | NY |
NPI | 1194995761 |
---|---|
Provider Name | Dr. Wayne Wei-An Hsieh |
First Address | Garden City, NY 11530-4753 |
Second Address | Garden City, NY 11530-4753 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2008 |
Last Update Date | 15/05/2019 |