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Mary Sophia Wagner
Specialist in Buffalo, New York
NPI 1649916149

Mary Sophia Wagner is a Specialist based in Buffalo, NY. Mary Sophia Wagner practices in Buffalo, NY. The NPI Number for Mary Sophia Wagner is 1649916149 and holds a License No. (New York).

The current practice location address for Mary Sophia Wagner is 212 Metcalfe St, Buffalo, NY and can be reached out via phone at 716-697-4773.

Location: 212 Metcalfe St, Buffalo, NY, 14206-2139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649916149
Provider Name
Mary Sophia Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
212 Metcalfe St, Buffalo, NY, 14206-2139
Phone Number
716-697-4773
Fax Number
Provider Enumeration Date
05/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
212 Metcalfe St
City
Buffalo
State
New York
Zip
14206-2139
Phone Number
716-697-4773
Fax Number
person
Provider Business Mailing Address Details
Address
212 Metcalfe St
City
Buffalo
State
New York
Zip
14206-2139
Phone Number
716-697-4773
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New York)
Definition
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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