Alan Wagner in Johnson City - Diagnostic Radiology

Alan Wagner - NPI 1649248584

Alan Wagner is a Diagnostic Radiology in Johnson City, New York. Alan Wagner practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Alan Wagner is 1649248584. The last update date is 2007-07-08.

Alan Wagner's current location address is 33-57 Harrison St, Johnson City, New York. You can contact this provider via phone number 6077636104. The mailing address for Alan Wagner is 33-57 Harrison St, Johnson City, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Alan Wagner
Address 33-57 Harrison St, Johnson City, New York
Phone Number 6077636104
Fax Number
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1649248584
Provider Enumeration Date 2006-03-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 33-57 Harrison St
City Johnson City
State New York (NY)
Post Code 13790
Phone Number 6077636104
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 131339
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
715655 NY --

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FAQs about Alan Wagner

What is the unique identifier code issued to Alan Wagner by the Centers for Medicare & Medicaid Services (CMS)?

The Alan Wagner has been assigned the NPI (National Provider Identifier) 1649248584. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Alan Wagner's physical address?

The Alan Wagner is physically located at 33-57 Harrison St, in the city of Johnson City, NY, with the postal code 13790.

What is Alan Wagner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Alan Wagner is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

On what date did the Alan Wagner receive its 1649248584 assignment from the Centers for Medicare & Medicaid Services?

The Alan Wagner was assigned its 1649248584 by the Centers for Medicare & Medicaid Services on 2006-03-08.

When was the information regarding Alan Wagner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Alan Wagner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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