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

Mr. Brian R. Wagner, MACASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831204270

Mr. Brian R. Wagner, MACASAC is an Addiction (Substance Use Disorder) Counselor in Valley Stream, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

73 S Central Ave
Valley Stream, NY 11580-5402
Phone: (516) 872-9698
Fax: (516) 872-8758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 10434 (NY)

Record details

NPI number1831204270
Entity typeIndividual (Type 1)
GenderMale
Credentials MACASAC
Sole proprietorYes
NPI enumeratedAugust 19, 2006
Last updated in NPPESJuly 8, 2007
Mailing address73 S Central Ave, Valley Stream, NY 11580-5402

Other providers in Valley Stream