Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. FREDERICK WILLIAM WAGNER III, MED
Active Sole ProprietorMS. FREDERICK WILLIAM WAGNER III, MED is a Specialist healthcare provider located in SETAUKET, New York. NPI 1861179665 is currently active in the NPPES registry. Verify at CMS.
Specialist · SETAUKET, NY
Registration Details
- NPI Number
- 1861179665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2023 (3.1389401238174 yrs)
- Last Updated
- Jul 3, 2023
- License
-
2512521 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19 JONES STSETAUKET, NY, 117332914Browse NY providers · Browse ZIP 11733
- Phone
- 9294837383
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SETAUKET, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. SUSAN KASPAR | — | 1184860249 |
| GEANNA MARIE PARTLAND | M.ED., BCBA | 1265795421 |
| SARAH ELIZABETH DAVIS | — | 1639513492 |
| MEGAN ALFIERE | LCSW | 1477918464 |
| KERRI ALBERS | — | 1669924841 |
| DAWN WILLIAMS | — | 1346784238 |
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.