National Provider Identifier
Jenia Wagner, M.D.
Jenia Wagner, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in East Aurora, NY and a listed phone number of (716) 652-1560.
Profile Overview
- NPI
- 1518939750
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- February 02, 2006
- Last Updated
- March 06, 2018
Practice Location
- 292 Main St
- East Aurora, NY 14052-1650
Phone: (716) 652-1560
Mailing Address
- 65 Mount Holyoke Ct
- Getzville, NY 14068-1283
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1518939750
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Jenia
- Credential
- M.D.
- Mailing Street Address
- 65 Mount Holyoke Ct
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068-1283
- Mailing Country
- US
- Mailing Phone
- (716) 868-4877
- Mailing Fax
- (716) 688-0432
- Practice Street Address
- 292 Main St
- Practice City
- East Aurora
- Practice State
- NY
- Practice ZIP Code
- 14052-1650
- Practice Country
- US
- Practice Phone
- (716) 652-1560
- Practice Fax
- (716) 688-0432
- Enumeration Date
- February 02, 2006
- Last Updated
- March 06, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 10166190 (NY, Fidelis), 00010164304 (NY, Univera), 000524001006 (NY, Bc/Bs), 0408107 (NY, Iha), 151114BJ (NY, Preferred Care), 01608680 (NY)