Individual
DR. JONATHAN DAVID WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
873 SAW MILL RIVER ROAD, ARDSLEY, NY 10502-1104
(914) 222-4694
(914) 222-5299
Mailing address
124 ANDERSON AVE, SCARSDALE, NY 10583-5547
(646) 341-0282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008162-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03992101
—
NY
Enumeration date
06/24/2014
Last updated
06/05/2019
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