Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Carolyn Blair Wagner, MD

Individual provider Pediatrics Physician · NPI 1508210931

Dr. Carolyn Blair Wagner, MD is a Pediatrics Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1065 Southern Blvd Dept OF Pediatrics
Bronx, NY 10459-2417
Phone: (718) 589-2440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 299303-1 (NY)

Record details

NPI number1508210931
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2016
Last updated in NPPESJuly 2, 2019

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