Individual
IVAN L WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
961 CANAL STREET, SYRACUSE, NY 13210-1287
(315) 478-1977
(315) 475-2909
Mailing address
5074 PINE VALLEY DRIVE, FAYETTEVILLE, NY 13066
(315) 446-8129
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
155170
NY
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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