Wagner, Keri Jean

Wagner, Keri Jean is an individual health care provider with primary practice located at 650 Commack Rd , Commack NY 11725-5404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wagner, Keri Jean can be contacted via phone (631) 623-4000.

Contact Information

Primary practice address
650 Commack Rd Commack NY 11725-5404
Phone: (631) 623-4000
Fax: (631) 864-2787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F334793 New York

Profile Details

NPI number 1053433474
LBN Legal business name Wagner, Keri Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2007
Last updated May 13th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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