Wagner, Frederick William

Wagner, Frederick William is an sole proprietor health care provider with primary practice located at 19 Jones St , Setauket NY 11733-2914. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wagner, Frederick William can be contacted via phone (929) 483-7383.

Contact Information

Primary practice address
19 Jones St Setauket NY 11733-2914
Phone: (929) 483-7383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2512521 New York

Profile Details

NPI number 1861179665
LBN Legal business name Wagner, Frederick William
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2023
Last updated Jul 3rd, 2023 - about 2 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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