Individual
SUSAN CAROL WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 PARK AVE, NEW YORK, NY 10128-1202
(212) 249-3314
(212) 734-3838
Mailing address
1100 PARK AVE, NEW YORK, NY 10128-1202
(212) 249-3314
(212) 734-3838
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
191007
NY
207ZP0101X
Anatomic Pathology Physician
191007
NY
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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