Amber Wagg

Physician Assistant · Potsdam, NY

Individual Active NPI

NPI number 1861801607

Practice location

50 Leroy St
Chemical Dependency Unit
Potsdam, NY 13676-1786
Phone
(315) 244-4017

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NPI record

NPI
1861801607
Entity type
Individual (Type 1)
Enumeration date
August 6, 2014
Last updated
August 6, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 017608 NY

About Amber Wagg

Amber Wagg is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 50 Leroy St, Chemical Dependency Unit, Potsdam, NY 13676-1786. The NPI number 1861801607 was assigned on August 6, 2014 and the record was last updated on August 6, 2014.

Amber Wagg lists a license in the registry: #017608 (NY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amber Wagg?

The NPI number is 1861801607.

What is the phone number of Amber Wagg?

The phone number listed for the practice location is (315) 244-4017.

Where is Amber Wagg located?

50 Leroy St, Chemical Dependency Unit, Potsdam, NY 13676-1786.

What is the taxonomy code for Amber Wagg?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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