Individual provider · Type 1 NPI

Frederick William Wagner Iii, MED

Specialist · Setauket, NY

NPI number 1861179665 Active

Practice location

19 Jones St
Setauket, NY 11733-2914

Call (929) 483-7383 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2512521 (NY)

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 1861179665

Frederick William Wagner Iii, MED's National Provider Identifier is 1861179665, issued on Jul 3, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Setauket, NY. The record was last updated on Jul 3, 2023.