Wagner-Wetzel, Nancy
Wagner-Wetzel, Nancy is an sole proprietor health care provider with primary practice located at 148 Jacques Ave , Staten Island NY 10306-3028. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagner-Wetzel, Nancy can be contacted via phone (917) 797-9441.Contact Information
Primary practice address
148 Jacques Ave
Staten Island NY 10306-3028
Phone: (917) 797-9441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7876 | New York |
Profile Details
| NPI number | 1467495952 |
|---|---|
| LBN Legal business name | Wagner-Wetzel, Nancy |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Apr 19th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467495952 | NPPES |
| New York | MEDICAID | 00979424 | |
| New York | Other | 680408 |
Popular Providers
-
Pakier, Asher
3915 Hylan Blvd , Staten Island NY 10308-3425 -
Gonzalez, Isaura De La Caridad
105 Byrne Ave Basement Suite, Staten Island NY 10314-4406 -
Morse, Philip Christopher
78 Hart Blvd , Staten Island NY 10301-2613 -
Contino, Angelo F.
183 Willow Rd E , Staten Island NY 10314-1612 -
Wakschal, Stephen Jeffrey
2291 Victory Blvd , Staten Island NY 10314-6625 -
Kiuhara, Sharon N
633 Clove Rd , Staten Island NY 10310-2736 -
Rainbow, Sandra
78 Hart Blvd , Staten Island NY 10301-2613 -
Tishler, Alan David
390 College Ave , Staten Island NY 10314-2621