Debra Joan Wagner, MSED

NPI #1780946939 in Wantagh, New York

Provider Information

NPI Number
1780946939
Entity Type
Individual
Name
Debra Joan Wagner, MSED
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
MSED
Enumeration Date
Jun 13, 2012
Last Updated
Jun 13, 2012

Practice Location

Address
3010 BAYVIEW AVE
ZIP Code
11793-4323
Phone
(516) 652-2127

Specialties & Taxonomy Codes

Specialty
Specialist

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