Dr. John D Wagner
Nephrologist
451 Clarkson Ave Rm B-1147 Kings County Hospital Center
Brooklyn
, New York 11203-2054
Dr. John D Wagner
Nephrologist
451 Clarkson Ave Rm B-1147 Kings County Hospital Center
Brooklyn
, New York 11203-2054
(718) 245-5347
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. John D Wagner
- 451 Clarkson Ave Rm B-1147 Kings County Hospital Center
- Brooklyn, NY
- Zip : 11203-2054
- Fax : (718) 245-5347
- Phone : (718) 245-3921
Second Address
- Dr. John D Wagner
- 451 Clarkson Ave Rm B-1147 Kings County Hospital Center
- Brooklyn, NY
- Zip : 11203-2054
- Fax : (718) 245-5347
- Phone : (718) 245-3921
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 140277 | NY |
National Provider Identifier
| NPI | 1033262340 |
|---|---|
| Provider Name | Dr. John D Wagner |
| First Address | Brooklyn, NY 11203-2054 |
| Second Address | Brooklyn, NY 11203-2054 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2007 |
| Last Update Date | 23/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00837072 | (05) | NY |
| C06536 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.