MS. DEBRA WAGNER (NPI# 1518308980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518308980 |
| Entity Type | Individual |
| Full Name | MS. DEBRA WAGNER |
| Practice Address |
1000 South Ave Ste Ll2 Staten Island NY 10314-3430 |
| Practice Telephone | 7184770961 |
| Practice Fax Number | 7187611643 |
| Mailing Telephone | 7184770961 |
| Mailing Fax Number | 7187611643 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1627858 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780946939 | Debra Joan Wagner | Specialist | 3010 Bayview Ave, Wantagh, NY 11793-4323 | 2012-06-13 |
| 1184872418 | Debra Lynn Wagner | Nurse Practitioner | 11700 N Meridian St # C240, Center for Children's Cancer and Blood Diseases, Carmel, IN 46032-4656 | 2008-08-28 |
| 1699862318 | Debra E Wagner | Nurse Practitioner | 1100 N Saint Francis St Ste 130, Wichita, KS 67214-2865 | 2006-10-06 |
| 1063446409 | Debra Smith Wagner | Social Worker | Minneapolis Vamc-122, One Veterans Drive, Minneapolis, MN 55417 | 2006-07-10 |
| 1013989623 | Debra Ann Wagner | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2006-02-07 |
| 1952899296 | Debra Ann Wagner | Registered Nurse | 1700 S Lincoln Ave Bldg 5, Lebanon, PA 17042-7597 | 2018-04-23 |
| 1013050095 | Debra Lynn Wagner | Advanced Practice Midwife | 2080 Child St, Jacksonville, FL 32214-5005 | 2007-02-15 |
| Street Address |
1000 SOUTH AVE STE LL2 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316182710 | Mary Fisher | Occupational Therapist | 1000 South Ave Ste Ll2, Staten Island, NY 10314-3430 | 2008-12-13 |
| 1407298615 | Jordana Syetta | Specialist | 1000 South Ave Ste Ll2, Staten Island, NY 10314-3430 | 2013-07-29 |
| 1457792913 | Christina J Denicola | Specialist | 1000 South Ave Ste Ll2, Staten Island, NY 10314-3430 | 2013-07-12 |
| 1558616284 | Kristin Vigliotti | Specialist | 1000 South Ave Ste Ll2, Staten Island, NY 10314-3430 | 2012-07-18 |
| 1437411857 | Kimberly Torello | Case Management | 1000 South Ave Ste Ll2, Staten Island, NY 10314-3430 | 2012-06-12 |
| 1568724169 | Tara Canini-depaolis | Specialist | 1000 South Ave Ste Ll2, Staten Island, NY 10314-3430 | 2012-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395463 | Mk Star Inc | Specialist | 104 Linwood Ave, Staten Island, NY 10305-4400 | 2020-10-31 |
| 1699374587 | Wendy Delores Cruz | Specialist | 35 Tanglewood Dr, Staten Island, NY 10308-1853 | 2020-10-21 |
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1558968354 | Danamarie Bolusi | Specialist | 134 Butler Ave, Staten Island, NY 10307-1207 | 2020-10-05 |
| 1164033320 | Andrea Balsamo | Specialist | 170 Overlook Ave, Staten Island, NY 10304-3006 | 2020-08-12 |
| 1699386912 | Anastasia Chernysheva | Specialist | 552b Greeley Ave, Staten Island, NY 10306-5808 | 2020-08-11 |
| 1750909842 | Diane Marie Trimarchi | Specialist | 139 Cedar Grove Ct, Staten Island, NY 10306-5703 | 2020-07-06 |
| 1225653264 | Taly Liberman | Specialist | 467 Saint Marks Pl, Staten Island, NY 10301-2408 | 2020-06-16 |
| 1477174431 | Danielle Bennett | Specialist | 35 Bryan St, Staten Island, NY 10307-1503 | 2020-04-30 |
| 1275164626 | Lauren Angela Lobasso | Specialist | 22 Brandis Ln, Staten Island, NY 10312-2070 | 2020-02-03 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on MS. DEBRA WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.