Individual
LARRY H WILF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-2989
(904) 200-2409
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-2222
(716) 845-2300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME50946
FL
207U00000X
Nuclear Medicine Physician
Primary
ME50946
FL
2085R0202X
Diagnostic Radiology Physician
ME50946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006250600
—
FL
01
—
03743
BCBS
FL
01
—
1119092
WELLCARE
FL
01
—
1226050
CIGNA
FL
05
—
258093400
—
FL
01
—
301208
AVMED
FL
01
—
5018006
AETNA
FL
01
—
P00190196
MEDICARE RAILROAD
FL
01
—
P00714011
RR MEDICARE
FL
01
—
P01451893
RR MEDICARE
FL
01
—
P01596525
RR MEDICARE
FL
Enumeration date
05/01/2006
Last updated
07/21/2025
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