Active NPIIndividual provider

Mrs. Brocha Wagner

Speech-Language Pathologist, in Monroe, New York

NPI Number1083216717
Practice location
1 Hamaspik Way, Monroe, NY 10950-8451
Fax
845-774-0506
Last updated
November 9, 2020

Brocha Wagner is a Speech-Language Pathologist, based in Monroe, NY. Brocha Wagner practices in Monroe, NY. The NPI Number for Brocha Wagner is 1083216717. The current practice location address for Brocha Wagner is 1 Hamaspik Way, Monroe, NY 10950-8451 and can be reached out via phone at 845-774-8400 and via fax at 845-774-0506.

Provider Profile Details

NPI Number
1083216717
Provider Name
Brocha Wagner
Provider Entity Type
Individual
Gender
Female
Address
1 Hamaspik Way, Monroe, NY 10950-8451
Phone Number
845-774-8400
Fax Number
845-774-0506
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
November 9, 2020
Last Update Date
November 9, 2020
Certification Date
November 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Hamaspik Way
Monroe, NY 10950-8451
City
Monroe
Zip
10950-8451
Phone Number
845-774-8400
Fax Number
845-774-0506
Monroe, NY 10950Get directions →

Provider Business Mailing Address Details

Address
1 Hamaspik Way
Monroe, NY 10950-8451
City
Monroe
State
NY
Zip
10950-8451
Phone Number
845-774-8400
Fax Number
845-774-0506

License Information

Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Brocha Wagner?

The NPI number of Mrs. Brocha Wagner is 1083216717. It was assigned on November 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Mrs. Brocha Wagner?

Mrs. Brocha Wagner is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X).

Where does Mrs. Brocha Wagner practice?

The practice location is 1 Hamaspik Way, Monroe, NY 10950-8451. The office can be reached at 845-774-8400 (phone) or 845-774-0506 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083216717 directly on the NPPES registry website.

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