Provider Demographics
NPI:1720181316
Name:FUCHS, WAYNE S (MD)
Entity Type:Individual
Prefix:MR
First Name:WAYNE
Middle Name:S
Last Name:FUCHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 EAST 60 STREET
Mailing Address - Street 2:SUITE 5B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-319-8205
Mailing Address - Fax:212-319-8646
Practice Address - Street 1:121 E 60TH ST
Practice Address - Street 2:SUITE 5B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1117
Practice Address - Country:US
Practice Address - Phone:212-319-8205
Practice Address - Fax:212-319-8646
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144953207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
133217001Other1199
NS1867OtherOXFORD
133217001OtherUNITED HEALTH
NS1867OtherOXFORD
B02618Medicare UPIN