Individual
MISS MIKAELA WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4834
Mailing address
233 MARINA POINTE DR, EAST ROCKAWAY, NY 11518-2068
(631) 255-6645
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431547
NY
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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