MEDICARE: DR. SHARYN HEATHER WAGREICH D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	X006443-1	NY

General Provider Information

NPI Number	:	1144397803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARYN HEATHER WAGREICH D.C.

Provider Business Mailing Address
First Line	:	347 5TH AVE RM 1505
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-5049
Country	:	US
Telephone Number	:	212-679-9270
Fax Number	:	212-679-3826

Provider Business Practice Location Address
First Line	:	347 5TH AVE RM 1505
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-5049
Country	:	US
Telephone Number	:	212-679-9270
Fax Number	:	212-679-3826

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	12/21/2020

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