NPI 1003463290

Erik Wagner

Practitioner Physical Therapy Assistant Forest Hills, NY

Practice location

Address: 10538 64th Rd APT 5j, Forest Hills, NY 11375-1628
Phone: (917) 806-0701
Mailing address: 576 Broadhollow Rd, Melville, NY 11747-5002

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1003463290
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2019
Record last updated: 22 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.