Search › New York › 101YM0800X
Wayne Gustafson, D.MIN
NPI 1851778757 · on the registry since 2015 · sole proprietor
Practice
- Address
- 224 Forest Home Dr
Ithaca, NY 14850 - Phone
- (607) 857-0003
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YP1600X
- Licence states on file
- NY, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York