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MS. FREDERICK WILLIAM WAGNER III MED
NPI 1861179665
Specialist in Setauket, NY

Active since July 03, 2023
19 JONES ST, SETAUKET, NY 11733(929) 483-7383 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Frederick William Wagner Iii Med NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. FREDERICK WILLIAM WAGNER III MED (NPI 1861179665) is an individual specialist in Setauket, New York, licensed in New York (2512521) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1861179665
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMS. FREDERICK WILLIAM WAGNER IIICredential: MED
Location Address19 JONES STSetauket, NY 11733-2914
Mailing Address19 Jones StSetauket, NY 11733-2914 · (929) 483-7383
Phone(929) 483-7383
Sole ProprietorYes
Enumeration DateJuly 3, 2023
NPPES CertifiedJuly 3, 2023
✔ NPI 1861179665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 2512521
Definition
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.
19 JONES ST, Setauket, NY 11733
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Wagner's NPI number?

The NPI number for Frederick Wagner is 1861179665. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Frederick Wagner located?

Frederick Wagner practices at 19 Jones St, Setauket, NY 11733. The listed phone number is (929) 483-7383.

What is Frederick Wagner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Frederick Wagner was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.