Individual
DR. JOSEPH ALLEN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
91 MERRALL DR, LAWRENCE, NY 11559-1518
(917) 797-3220
Mailing address
91 MERRALL DR, LAWRENCE, NY 11559-1518
(917) 797-3220
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
216232
NY
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
216232
NY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
216232
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
216232
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2038K1
BCBS
NY
Enumeration date
05/14/2007
Last updated
06/11/2008
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