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Contact Information

RONALD S WAGNER, MD
110 MARCUS DRIVE
MELVILLE, NY11747
 Phone: 631-390-1793
 Fax: 631-390-1780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for RONALD S WAGNER · (Male)

NPI Number 1689661415
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2005
Last updated 09/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 2056791
Hospital affiliation(s) Not Available
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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