Individual
DR. JEFFREY M. WOLF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
233 E SHORE RD, #112, GREAT NECK, NY 11023-2433
(516) 482-7810
(516) 482-3760
Mailing address
233 E SHORE RD, #112, GREAT NECK, NY 11023-2433
(516) 482-7810
(516) 482-3760
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
201158
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02082240
—
NY
Enumeration date
06/03/2006
Last updated
07/08/2007
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