Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE WAGNER, M.D.
Active Sole ProprietorMedical Microbiology · ISLIP, NY
Registration Details
- NPI Number
- 1194812164
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2006 (19.535048928773 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
182713 (NY)182713 (NY)182713 (NY)182713 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
43 SHEBAR DRISLIP, NY, 117514409Browse NY providers · Browse ZIP 11751
- Phone
- 6315811119
- Primary Specialty
-
Medical Microbiology
207ZM0300X
- Additional Specialty
- Medical Microbiology
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
- Additional Specialty
- Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.