# DIANE WAGNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194812164
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | 182713 | NY | — |
| 207ZM0300X | Medical Microbiology Physician | 182713 | NY | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 182713 | NY | — |
| 2084P0800X | Psychiatry Physician | 182713 | NY | — |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 09/11/2025