| Mr Brian R Wagner, MA CASAC | |
|
73 S Central Ave, Valley Stream, NY 11580-5402 | |
| (516) 872-9698 | |
| (516) 872-8758 |
| Full Name | Mr Brian R Wagner |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 73 S Central Ave, Valley Stream, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831204270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10434 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian R Wagner, MA CASAC 73 S Central Ave, Valley Stream, NY 11580-5402 Ph: (516) 872-9698 | Mr Brian R Wagner, MA CASAC 73 S Central Ave, Valley Stream, NY 11580-5402 Ph: (516) 872-9698 |
Jeannine Ruth Sims, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 W Hawthorne Ave, Valley Stream, NY 11580 Phone: 516-569-6600 | |
Kimberly Jean-baptiste, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 W Merrick Rd Ste 3, Valley Stream, NY 11580 Phone: 516-459-2920 | |
Ms. Ashley Belbol, Counselor Medicare: Accepting Medicare Assignments Practice Location: 50 W Hawthorne Ave, Valley Stream, NY 11580 Phone: 516-569-6600 | |
Yolene Toussaint-gourgue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Balfour St, Valley Stream, NY 11580 Phone: 347-497-2522 | |
Mr. Gonald Moncion, MHH Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Felton Ave, Valley Stream, NY 11580 Phone: 516-467-6795 | |
Pamala Corley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Broadway, Valley Stream, NY 11580 Phone: 917-297-5305 | |
Giana Laura Carreno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 W Hawthorne Ave Fl 2, Valley Stream, NY 11580 Phone: 516-569-6600 |