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

Mary Sophia Wagner

Individual provider Specialist · NPI 1649916149

Mary Sophia Wagner is a Specialist in Buffalo, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

212 Metcalfe St
Buffalo, NY 14206-2139
Phone: (716) 697-4773
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1649916149
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2022
Last updated in NPPESMay 7, 2022
Certification dateMay 7, 2022

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