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

Meredith Wagner, PA

Individual provider Physician Assistant · NPI 1619674066

Meredith Wagner, PA is a Physician Assistant in Syracuse, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210
Phone: (315) 464-4363
Fax: (315) 464-8690
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032946 (NY)

Record details

NPI number1619674066
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 15, 2023
Last updated in NPPESDecember 17, 2024
Certification dateFebruary 15, 2023
Mailing address750 East Adams St, Syracuse, NY 13210

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