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Individual

MRS. KATHLEEN M WOLFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5994 SENECA CT, LOCKPORT, NY 14094-7984
(315) 427-7043
Mailing address
5994 SENECA CT, LOCKPORT, NY 14094-7984
(315) 427-7043

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
447168
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
447168
NYS DEPT. OF HEALTH BUREAU OF EMERGENCY MEDICAL SERVICES EMT-BASIC
NY
Enumeration date
02/09/2017
Last updated
02/09/2017
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