Individual
DR. JOSH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
19 E 71ST ST, SUITE 5A, NEW YORK, NY 10021-4119
(843) 323-8853
Mailing address
19 E 71ST ST, SUITE 5A, NEW YORK, NY 10021-4119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
011928
NY
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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