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

MS. Debra Wagner

Individual provider Specialist · NPI 1518308980

MS. Debra Wagner is a Specialist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

1000 S Ave Ste LL2
Staten Island, NY 10314-3430
Phone: (718) 477-0961
Fax: (718) 761-1643
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1627858 (NY)

Record details

NPI number1518308980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2013
Last updated in NPPESJuly 12, 2013

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