Individual
ANNA VAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE # M18, NEW YORK, NY 10065-6007
(212) 639-6987
Mailing address
1275 YORK AVE # M18, NEW YORK, NY 10065-6007
(212) 639-6987
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
341962
NY
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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