IndividualActive
Brian Wagner, MD
NPI 1477633931 · Maternal & Fetal Medicine Physician · New York, NY
Provider details
- NPI number
- 1477633931
- Entity type
- Individual
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 225630 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1176 Fifith Avenue E Level
New York, NY 10029-6501
Phone: (212) 659-8557
Fax: (212) 369-2385
Approximate (ZIP-level) locationGet directions
Mailing address
5 East 98th Street Box 1170
New York, NY 10029-6501
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2012-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.