Jesse Matthew Wagner
Jesse Matthew Wagner is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Works from 2 locations. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
111 E 210th StBronx, NY 10467-2401
Phone: (516) 851-5770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 111 E 210th St, Bronx, NY 10467-2401 — (888) 700-6623
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1437712536 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 15, 2019 |
| Last updated in NPPES | April 15, 2019 |
| Mailing address | 111 E 210th St, Bronx, NY 10467-2401 |
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