IndividualActive
Alan Wagner, MD
NPI 1649248584 · Diagnostic Radiology Physician · Johnson City, NY
Provider details
- NPI number
- 1649248584
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 131339 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
33-57 Harrison St
Johnson City, NY 13790
Phone: (607) 763-6104
Approximate (ZIP-level) locationGet directions
Mailing address
2555 Ponce De Leon Blvd
Coral Gables, FL 33134
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.