Individual
MRS. ANN WOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
14 KENNEDY PARKWAY, CORTLAND, NY 13045-1435
(607) 756-9941
(607) 756-2907
Mailing address
14 KENNEDY PARKWAY, CORTLAND, NY 13045-1435
(607) 756-9941
(607) 753-3204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01286039
—
NY
Enumeration date
07/13/2006
Last updated
04/12/2016
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