Wagner, Diane

Wagner, Diane is an sole proprietor health care provider with primary practice located at 43 Shebar Dr , Islip NY 11751-4409. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Medical Microbiology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine is her primary health care specialty. Wagner, Diane can be contacted via phone (631) 581-1119.

Contact Information

Primary practice address
43 Shebar Dr Islip NY 11751-4409
Phone: (631) 581-1119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 182713 New York
Allopathic & Osteopathic Physicians / Medical Microbiology 207ZM0300X 182713 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 182713 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 182713 New York

Profile Details

NPI number 1194812164
LBN Legal business name Wagner, Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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