MS. FREDERICK WILLIAM WAGNER MED NPI 1861179665

NPI Information

MS. Frederick William Wagner, MED is a specialist in Setauket, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MS. Frederick William Wagner, MED NPI is 1861179665. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19 JONES ST
SETAUKET, NY
ZIP 11733-914
Phone: (929) 483-7383

The enumeration date for this NPI number is 7/3/2023 and was last updated on 7/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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