Individual
MR. EVAN EDWARD WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
2 PALISADES DR, AAC, A DIVISION OF PRIME CARE PHYSICIANS, PLLC, ALBANY, NY 12205-1438
(518) 458-2000
(518) 458-1524
Mailing address
PO BOX 12190, PRIME CARE PHYSICIANS, PLLC, ALBANY, NY 12212-2190
(518) 437-9840
(518) 437-9850
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011260
NY
Other
Enumeration date
06/28/2006
Last updated
12/07/2009
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