Search › New York › 363LF0000X
Keisha Wagner
NPI 1639641889 · on the registry since 2018 · sole proprietor
Practice
- Address
- 273 Putnam Ave
Brooklyn, NY 11216 - Phone
- (917) 682-4643
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York