Individual
MS. PHYLLIS JOAN WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1723 N OCEAN AVE, MEDFORD, NY 11763-2649
(631) 758-5858
Mailing address
1723 N OCEAN AVE, MEDFORD, NY 11763-2649
(631) 758-5858
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301342
NY
Other
Enumeration date
05/10/2006
Last updated
08/13/2012
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