Wagner, Ronald S

Wagner, Ronald S is an individual health care provider with primary practice located at 110 Marcus Drive , Melville NY 11747. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wagner, Ronald S can be contacted via phone (631) 390-1793.

Contact Information

Primary practice address
110 Marcus Drive Melville NY 11747
Phone: (631) 390-1793
Fax: (631) 390-1780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2056791 New York

Profile Details

NPI number 1689661415
LBN Legal business name Wagner, Ronald S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Sep 4th, 2012 - about 12 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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