Individual
CORRI PAIGE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
131 MERRICK RD, MERRICK, NY 11566-4542
(516) 223-1515
Mailing address
131 MERRICK RD, MERRICK, NY 11566-4542
(516) 223-1515
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007278
NY
Other
Enumeration date
01/06/2022
Last updated
01/17/2022
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