John Raymond Wagner, MD
John Raymond Wagner, MD is an Obstetrics/Gynecology in East Northport, New York. Graduated from Icahn School of Medicine at Mount Sinai in 1987, 39 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 39
- Trained at
- Icahn School of Medicine at Mount Sinai
- Licensed in
- NY
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
7 Pulaski RdEast Northport, NY 11731-2442
Phone: (631) 261-3322
Fax: (631) 368-5440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 181212 (NY) |
|---|
Record details
| NPI number | 1538120704 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 29, 2006 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | OBSTETRICS/GYNECOLOGY |
|---|---|
| Medical school | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Graduated | 1987 (39 years in practice) |
| Group practice | North Shore-Lij Medical Pc — 6350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in East Northport
-
Theodore Lyle Goldman, MD
7 Pulaski Rd, East Northport, NY 11731-2442 · (631) 261-3322
-
Martin I Granoff, MD
554 Larkfield Rd, East Northport, NY 11731-4205 · (631) 368-3800
-
Martin I Granoff MD PC
554 Larkfield Road Sutie 105, East Northport, NY 11731 · (631) 369-3800
-
Wgm Obstetrics and Gynecology, PC
7 Pulaski Rd, East Northport, NY 11731-2442 · (631) 261-3322