License holder summary

WAGNER MATTHEW ROBERT is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WAGNER MATTHEW ROBERT is EAST SETAUKET NY. This doctor license is current. The license was granted 01/21/2009 and expired on 04/30/2016.

New York

Office of the Professions

WAGNER MATTHEW ROBERT
Medicine (Physician, Including M Ds & D Os)
License number
251727
Date granted
01/21/2009
Date expires
04/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
EAST SETAUKET NY
nymedicine.org
ID 30304707
LAST UPDATED 2026-05-07 01:33:48 UTC

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