Individual provider · Type 1 NPI

Mary Sophia Wagner

Specialist · Buffalo, NY

NPI number 1649916149 Active

Practice location

212 Metcalfe St
Buffalo, NY 14206-2139

Call (716) 697-4773 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649916149

Mary Sophia Wagner's National Provider Identifier is 1649916149, issued on May 7, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Buffalo, NY. The record was last updated on May 7, 2022.