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

MS. Frederick William Wagner III, MED

Individual provider Specialist · NPI 1861179665

MS. Frederick William Wagner III, MED is a Specialist in Setauket, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

19 Jones St
Setauket, NY 11733-2914
Phone: (929) 483-7383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2512521 (NY)

Record details

NPI number1861179665
Entity typeIndividual (Type 1)
GenderMale
Credentials MED
Sole proprietorYes
NPI enumeratedJuly 3, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023

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