| | Physician Last Name: | Wayne |
| | Physician First Name: | Michael |
| | Physician Middle Name: | Gerard |
| | Address: | 222 E. 19th Street
Apartment 3J
New York, New York 10003 |
| | License Number: | 203000 |
| | License Type: | DO |
| | Year of Birth: |
1968
|
| | Effective Date: | 03/29/2004 |
| | Action Description for DOH Webpage: | License suspension for twelve months effective March 18,2003 with the last four months stayed with probation commencing upon the active practice of medicine in New York State for sixty months,The physician had completed the probation terms on March 28, 2009. |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge of violating a condition previously imposed by the New York State Board for Professional Medical Conduct. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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