FREDERICK WILLIAM WAGNER

SETAUKET, NY
NPI1861179665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  2512521)
Enumeration Date2023-07-03
Last Update Date2023-07-03
Business Address
Ms. FREDERICK WILLIAM WAGNER MEd
19 JONES ST
SETAUKET, NY 11733-2914
Phone number: 929-483-7383
Mailing Address
Ms. FREDERICK WILLIAM WAGNER MEd
19 JONES ST
SETAUKET, NY 11733-2914
Phone number: 929-483-7383