Individual
DEBRA A WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4828 W TAFT RD, SUITE 215, LIVERPOOL, NY 13088-4810
(315) 413-0004
(315) 413-0828
Mailing address
1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002450
NY
Other
Enumeration date
01/26/2006
Last updated
05/12/2008
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