Wagner, Debra Joan

Wagner, Debra Joan is an sole proprietor health care provider with primary practice located at 3010 Bayview Ave , Wantagh NY 11793-4323. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wagner, Debra Joan can be contacted via phone (516) 652-2127.

Contact Information

Primary practice address
3010 Bayview Ave Wantagh NY 11793-4323
Phone: (516) 652-2127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1780946939
LBN Legal business name Wagner, Debra Joan
Credentials MSED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2012
Last updated Jun 13th, 2012 - about 13 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

Popular Providers