MR. BRIAN R. WAGNER (NPI# 1831204270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831204270 |
| Entity Type | Individual |
| Full Name | MR. BRIAN R. WAGNER |
| Credential | M.A. C.A.S.A.C. |
| Practice Address |
73 S Central Ave Valley Stream NY 11580-5402 |
| Practice Telephone | 5168729698 |
| Practice Fax Number | 5168728758 |
| Mailing Telephone | 5168729698 |
| Mailing Fax Number | 5168728758 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10434 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811177751 | Brian Edwin Wagner | Pharmacist | 1616 Black River Blvd N, Rome, NY 13440-3609 | 2007-11-08 |
| 1477633931 | Brian J Wagner | Obstetrics & Gynecology | 1176 Fifith Avenue E Level, New York, NY 10029-6501 | 2006-10-17 |
| 1790893410 | Brian M Wagner | Dentist | 7120 S Us Highway 231, Huntingburg, IN 47542-9319 | 2006-08-25 |
| 1093743502 | Brian Keith Wagner | Podiatrist | 11 South Rd Lowr Level20, Farmington, CT 06032-2483 | 2006-06-30 |
| 1114333549 | Brian Wagner | Counselor | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2014-07-07 |
| 1265576433 | Brian Wagner | Marriage & Family Therapist | 1885 Lundy Ave, Suite 223, San Jose, CA 95131-1887 | 2007-02-19 |
| 1205815917 | Brian Lee Wagner | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821-3600 | 2006-01-11 |
| Street Address |
73 S CENTRAL AVE |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598870933 | Sue P. Mintz | Counselor | 73 S Central Ave, Valley Stream, NY 11580-5402 | 2006-08-19 |
| 1003009317 | Heather Hugelmeyer | Social Worker | 73 S Central Ave, Valley Stream, NY 11580-5402 | 2007-08-20 |
| 1649389628 | Ellen Lindy Brahen | Counselor | 73 S Central Ave, Valley Stream, NY 11580-5402 | 2006-08-30 |
| 1497864094 | Roberto Torre | Counselor | 73 S Central Ave, Valley Stream, NY 11580-5402 | 2006-08-29 |
| 1447366059 | Meryl A. Camer | Counselor | 73 S Central Ave, Valley Stream, NY 11580-5402 | 2006-08-23 |
| 1871608984 | Linda M. Babolcsay | Counselor | 73 S Central Ave, Valley Stream, NY 11580-5402 | 2006-08-20 |
| 1902911332 | Tricia B. Baylis | Counselor | 73 S Central Ave, Valley Stream, NY 11580-5402 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144876848 | Michael Steven Berkowitz | Counselor | 11 Gibson Blvd, Valley Stream, NY 11581-2019 | 2019-08-18 |
| 1417469743 | Christie Marie Brulhardt | Counselor | 50 W Hawthorne Ave Ste 3, Valley Stream, NY 11580-6220 | 2017-10-26 |
| 1033448535 | Michelle Scantlebury | Counselor | 213 Rockaway Ave, Valley Stream, NY 11580-5825 | 2009-12-11 |
| 1598870933 | Sue P. Mintz | Counselor | 73 S Central Ave, Valley Stream, NY 11580-5402 | 2006-08-19 |
| 1972145498 | Loretta Delores Mcmanus | Counselor | 5-11 Pflug Place, Valley Stream, NY 11580 | 2019-10-16 |
| 1124594155 | Monique Yvette Graham | Counselor | 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 | 2018-10-17 |
| 1568947083 | Laura M Roberts | Counselor | 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 | 2018-10-01 |
| 1215456199 | Diba Shaikh | Counselor | 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 | 2017-09-12 |
| 1730629130 | Patricia Denton | Counselor | 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 | 2017-03-03 |
| 1962785592 | Angel D Torres | Counselor | 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 | 2011-09-20 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on MR. BRIAN R. WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.