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Contact Information

DIANE WAGNER, MD
43 SHEBAR DR
ISLIP, NY11751-4409
 Phone: 631-581-1119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Microbiology

207ZM0300X 22 Physician/Pathology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for DIANE WAGNER · (Female)

NPI # 1194812164
Status Active
Credentials MD
Entity Individual
Enumeration date 10/09/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 182713
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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