Individual
MARIAH KENZI WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Mailing address
7420 RIDGE BLVD APT 3J, BROOKLYN, NY 11209-2348
(651) 226-2804
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432305
NY
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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