Individual provider · Type 1 NPI

William Wagner, PA-C

Physician Assistant · New York, NY

NPI number 1407684400 Active

Practice location

5141 Broadway
New York, NY 10034-1159

Call (212) 932-4000 Map

Mailing address

25 Franklin Ave Apt 6O
White Plains, NY 10601-3857

Other practice locations

  • 693 White Plains Rd, Scarsdale, NY 10709 · (212) 305-4565
  • 500 Grand Ave, Englewood, NJ 07631-4967 · (212) 305-4565

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X032380 (NY)
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant 363AS0400XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407684400

William Wagner, PA-C's National Provider Identifier is 1407684400, issued on Jul 23, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Sep 6, 2024.