Individual
DR. LAURA J CARPENTER-WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2950 ELMWOOD AVENUE (KENMORE MERCY HOSPITAL), KENMORE, NY 14217-1304
(716) 447-6580
(716) 447-6913
Mailing address
2333 ELMWOOD AVE STE 2, KENMORE, NY 14217-2646
(716) 874-1098
(716) 874-9616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
186958
NY
207L00000X
Anesthesiology Physician
186958-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01417129
—
NY
Enumeration date
07/10/2006
Last updated
04/10/2019
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