ELLY WAGNER

KINGSTON, NY
NPI1629859426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  030799)
Enumeration Date2023-10-09
Last Update Date2023-10-09
Business Address
ELLY WAGNER PA-C
373 BROADWAY
KINGSTON, NY 12401-5151
Phone number: 845-303-1132
Mailing Address
ELLY WAGNER PA-C
373 BROADWAY
KINGSTON, NY 12401-5151
Phone number:
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