Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | X006443-1 | NY |
NPI | 1144397803 |
---|---|
Provider Name | Dr. Sharyn Heather Wagreich |
First Address | New York, NY 10016-5049 |
Second Address | New York, NY 10016-5049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 21/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U34509 | (02) | NY |