Individual
STACEY WOLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016
(212) 263-5506
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
301605
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2018
Last updated
07/11/2024
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