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Contact Information

GABRIEL M WAGMAN, MD
1916 UNION BLVD
BAY SHORE, NY11706-7921
 Phone: 631-666-2290
 Fax: 631-647-5299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Adult Congenital Heart Disease

207RA0002X 11 Physician/Internal Medicine
 

Hypertension Specialist

207RH0005X 11 Physician/Internal Medicine
 

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for GABRIEL M WAGMAN · (Male)

NPI # 1487989190
Status Active
Credentials MD
Entity Individual
Enumeration date 10/14/2009
Last updated 11/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 255002
  • NY Medicaid 03166589
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
  • ST FRANCIS HOSPITAL ROSLYN - (Acute Care)
    100 PORT WASHINGTON BOULEVARD
    ROSLYN, NY 11576
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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