DEBRA JOAN WAGNER (NPI# 1780946939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780946939 |
| Entity Type | Individual |
| Full Name | DEBRA JOAN WAGNER |
| Credential | MSED |
| Practice Address |
3010 Bayview Ave Wantagh NY 11793-4323 |
| Practice Telephone | 5166522127 |
| Mailing Telephone | 5166522127 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1518308980 | Debra Wagner | Specialist | 1000 South Ave Ste Ll2, Staten Island, NY 10314-3430 | 2013-07-12 |
| 1013050095 | Debra Lynn Wagner | Advanced Practice Midwife | 2080 Child St, Jacksonville, FL 32214-5005 | 2007-02-15 |
| Street Address |
3010 BAYVIEW AVE |
| City | WANTAGH |
| State | NY |
| Zip Code | 11793-4323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134765548 | Wantagh Pharmacy Inc | Pharmacy | 1165 Wantagh Ave, Wantagh, NY 11793 | 2019-11-20 |
| 1003356007 | Mansi Barai | Early Intervention Provider Agency | 1555 Jennie Road, Wantagh, NY 11793 | 2017-02-24 |
| 1659729077 | Lauren Kronowitz | Chiropractor | 1400 Wantagh Ave Ste 209, Wantagh, NY 11793 | 2016-05-26 |
| 1508223835 | Sheetal Nair | Behavior Technician | 10 Old Jerusalem Rd, Wantagh, NY 11793 | 2016-01-18 |
| 1982942272 | Comprehensive Mri of New York, P.C. | Clinic/Center | 1165 Wantagh Avenue, Wantagh, NY 11793 | 2013-01-22 |
| 1396009189 | Jacqueline Raffaele | Social Worker | 3375 Park Ave Ste 4001, Wantagh, NY 11793 | 2012-06-27 |
| 1700152493 | Rosalind Kay Safir | Speech-Language Pathologist | 2850 North Jerusalem Rd, Wantagh, NY 11793 | 2012-03-27 |
| 1902174675 | Stacey Lee Barrett | Registered Nurse | 2250 Northjerusalem Road, Nassau Boces Cca, Wantagh, NY 11793 | 2011-12-08 |
| 1760705917 | Joseph Hoffman | Pharmacist | 646 Wantagh Avenue, Wantagh, NY 11793 | 2010-03-02 |
| 1003146119 | Maryhaven Center of Hope Inc. | Community/Behavioral Health | 2957 Burns Avenue, Wantagh, NY 11793 | 2010-01-12 |
| Find all providers in zip 11793 | ||||
| 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 |
|---|---|---|---|---|
| 1457976250 | Courtney Lazarus | Specialist | 3583 Bunker Ave, Wantagh, NY 11793-3438 | 2020-06-08 |
| 1447807037 | Lynne Intintoli | Specialist | 2893 Terra Park Ln, Wantagh, NY 11793-2300 | 2019-08-20 |
| 1124674817 | Nicole Mannino | Specialist | 3680 Demott Ave, Wantagh, NY 11793-3524 | 2019-08-17 |
| 1730734351 | Danielle Galeotafiore | Specialist | 2929 Duncan Ct, Wantagh, NY 11793-1720 | 2019-08-09 |
| 1215582259 | Maria Frances Martinez | Specialist | 1879 Dover Rd, Wantagh, NY 11793-3626 | 2019-08-06 |
| 1457910531 | Kristen Many | Specialist | 28 Tally Ln, Wantagh, NY 11793-1923 | 2019-06-11 |
| 1043782915 | Beth Nicole Pergament | Specialist | 3200 Waterbury Dr, Wantagh, NY 11793-3332 | 2018-12-17 |
| 1851860787 | Kelly Christine Milazzo | Specialist | 3167 Mark Alan Dr, Wantagh, NY 11793-1838 | 2018-11-20 |
| 1770066813 | Denise Rice | Specialist | 1555 Oxford Rd, Wantagh, NY 11793-2445 | 2018-09-14 |
| 1588111520 | Suzanne Dressler | Specialist | 2438 Wantagh Ave, Wantagh, NY 11793-4438 | 2016-09-07 |
| Find all providers in WANTAGH | ||||
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| 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.