Individual
JONATHAN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 GROVE AVE, SUITE 210, CEDARHURST, NY 11516
(516) 295-0046
(516) 295-7445
Mailing address
123 GROVE AVE, SUITE 210, CEDARHURST, NY 11516
(516) 295-0046
(516) 295-7445
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
1945421
NY
Other
Enumeration date
10/20/2006
Last updated
08/06/2009
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