REX DWAYNE WAGGONER

NEW YORK, NY
NPI1588981435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  272098)
Enumeration Date2010-04-30
Last Update Date2019-11-07
Business Address
Dr. REX DWAYNE WAGGONER M.D.
138 DELANCEY ST
NEW YORK, NY 10002-3325
Phone number: 212-609-2541
Mailing Address
Dr. REX DWAYNE WAGGONER M.D.
1345 RXR PLZ
UNIONDALE, NY 11556-1301
Phone number: 516-783-4600