Individual
KAREN B WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 E 77TH ST, NEW YORK, NY 10021-1817
(212) 772-3111
(212) 861-1796
Mailing address
61 E 77TH ST, NEW YORK, NY 10021-1817
(212) 772-3111
(212) 861-1796
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
73408
NY
Other
Enumeration date
08/22/2005
Last updated
04/30/2014
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