MISS JOELLE SUSAN WAGNER


Address: 767 Main Street, West Seneca, NY 14224
Phone: 7163611624

MISS JOELLE SUSAN WAGNER (NPI# 1750858981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750858981
Entity Type Individual
Full Name MISS JOELLE SUSAN WAGNER
Practice Address 767 Main Street
West Seneca
NY 14224
Practice Telephone 7163611624
Mailing Telephone 7163611624
Enumeration Date 2018-10-25
Last Update Date 2018-10-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 767 MAIN STREET
City WEST SENECA
State NY
Zip Code 14224

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114528338 Jaimee Coscia Behavior Technician Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 2020-11-04
1437711413 Sara Jean Bucci Massage Therapist 4214 Clinton Street, West Seneca, NY 14224 2019-07-01
1679036115 Darcy Zappia Behavior Technician 950a Union Rd #108, West Seneca, NY 14224 2019-04-11
1629545900 Victoria A Luongo Physician Assistant 189 Fieldcrest Ct., West Seneca, NY 14224 2018-10-25
1659873776 Lianna Marie Carroll Physician Assistant 1026 Union Road, West Seneca, NY 14224 2018-03-05
1124535141 Joshua Conrad Registered Nurse 1010 East and West Road, West Seneca, NY 14224 2017-12-30
1285156232 Southtowns P.t., Pllc Physical Therapist 100 Union Rd., West Seneca, NY 14224 2017-07-12
1164944260 Patricia Ann Fenzel Massage Therapist 1909 Union Road, West Senca, NY 14224 2017-07-10
1356877666 Megan A Malachowski Physical Therapy Assistant 67 Cove Creek Run, Buffalo, NY 14224 2017-05-05
1255793386 Jena Jakubczak Occupational Therapy Assistant 355 Harlem Road, West Seneca, NY 14224 2016-03-28
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467886770 Linda Armbruster Student in an Organized Health Care Education/Training Program 256 Knox Ave, West Seneca, NY 14224-1250 2013-08-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174124986 Khyati Zala Student in an Organized Health Care Education/Training Program 143 South Dr, New Hyde Park, NY 11040-2232 2020-11-06
1740881671 Celeste Finelli Student in an Organized Health Care Education/Training Program 255 W 36th St Rm 201, New York, NY 10018-7700 2020-11-06
1407457310 Omri Sulimani Student in an Organized Health Care Education/Training Program 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 2020-11-06
1063013936 Kenneth Yang Student in an Organized Health Care Education/Training Program 30 Rover Ln, Hicksville, NY 11801-6253 2020-11-05
1770184061 Talia Regina Stagnitta Student in an Organized Health Care Education/Training Program 134 Shaber Rd, Patchogue, NY 11772-2429 2020-11-04
1316548605 Caitlin Hitsous Fitzpatrick Student in an Organized Health Care Education/Training Program 18 Hampton Ct, Port Washington, NY 11050-3021 2020-11-04
1538760814 Adam Paul Tamburello Student in an Organized Health Care Education/Training Program 4 Foothill Ln, East Northport, NY 11731-4107 2020-11-04
1306447552 Kuldesh Singh Ubhi Student in an Organized Health Care Education/Training Program 850 Hoplins Road, Williamsville, NY 14221 2020-11-04
1255932539 Jordan Taylor Rucks Student in an Organized Health Care Education/Training Program 17 Hollingsworth Pl, Centereach, NY 11720-2111 2020-11-04
1639770266 Fahad Gul Khan Student in an Organized Health Care Education/Training Program 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 2020-11-02
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Competitor

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City WEST SENECA
Zip Code 14224

Improve Information

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Dataset Information

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.

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