IndividualActive
Diane Wagner, M.D.
NPI 1194812164 · Medical Microbiology Physician · Islip, NY
Provider details
- NPI number
- 1194812164
- Entity type
- Individual
- Primary specialty
- Medical Microbiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 182713 (NY)
Mailing address
43 Shebar Dr
Islip, NY 11751-4409
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.