Justin John Wagner is a student in an organized health care education training program in Brooklyn, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Justin John Wagner NPI is 1871121798. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2601 OCEAN PKWY
BROOKLYN, NY
ZIP 11235-745
Phone: (718) 616-3000
The enumeration date for this NPI number is 3/27/2020 and was last updated on 3/27/2020.