| | Physician Last Name: | Wayne |
| | Physician First Name: | Michael |
| | Physician Middle Name: | Gerard |
| | Address: | 306 East 96th Street
Apt.9H
New York, New York 10128 |
| | License Number: | 203000 |
| | License Type: | DO |
| | Year of Birth: |
1968
|
| | Effective Date: | 01/30/2003 |
| | Action Description for DOH Webpage: | Monitoring conditions for five years.The physician had completed the monitoring terms of the order on November 27, 2008. |
| | Misconduct Description for DOH Webpage: | This order is nondisciplinary in nature and no professional misconduct charges have been sustained against the physician. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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