Wagman, Gabriel Michael

Wagman, Gabriel Michael is an individual health care provider with primary practice located at 1916 Union Blvd , Bay Shore NY 11706-7921. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hypertension Specialist, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wagman, Gabriel Michael can be contacted via phone (631) 666-2290.

Contact Information

Primary practice address
1916 Union Blvd Bay Shore NY 11706-7921
Phone: (631) 666-2290
Fax: (631) 647-5299
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hypertension Specialist 207RH0005X 255002 New York
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X 255002 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 255002 New York

Profile Details

NPI number 1487989190
LBN Legal business name Wagman, Gabriel Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2009
Last updated Nov 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487989190 NPPES
New York MEDICAID 03166589

Popular Providers