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Ms. Frederick William Wagner III, MED
Specialist in Setauket, New York
NPI 1861179665

Frederick William Wagner III is a Specialist based in Setauket, NY. Frederick William Wagner III practices in Setauket, NY and has the professional credentials of MED. The NPI Number for Frederick William Wagner III is 1861179665 and holds a License No. 2512521 (New York).

The current practice location address for Frederick William Wagner III is 19 Jones St, Setauket, NY and can be reached out via phone at 929-483-7383.

Location: 19 Jones St, Setauket, NY, 11733-2914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861179665
Provider Name
Frederick William Wagner III
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
19 Jones St, Setauket, NY, 11733-2914
Phone Number
929-483-7383
Fax Number
Provider Enumeration Date
07/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19 Jones St
City
Setauket
State
New York
Zip
11733-2914
Phone Number
929-483-7383
Fax Number
person
Provider Business Mailing Address Details
Address
19 Jones St
City
Setauket
State
New York
Zip
11733-2914
Phone Number
929-483-7383
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2512521 (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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