Wagner, Eileen Roberta

Wagner, Eileen Roberta is an sole proprietor health care provider with primary practice located at 152 Northern Blvd , Saint James NY 11780-2823. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wagner, Eileen Roberta can be contacted via phone (631) 584-6619.

Contact Information

Primary practice address
152 Northern Blvd Saint James NY 11780-2823
Phone: (631) 584-6619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 314855-1 New York

Profile Details

NPI number 1679650584
LBN Legal business name Wagner, Eileen Roberta
Credentials BSN RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 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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