Individual
DR. EDWIN WILLIAM WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1 WEST 85TH STREET, SUITE 1C, NEW YORK, NY 10024
(212) 874-0564
Mailing address
1 WEST 85TH STREET, SUITE 1C, NEW YORK, NY 10024
(212) 874-0564
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N2630
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
N2630
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00405005
—
NY
Enumeration date
07/07/2005
Last updated
03/06/2013
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