Individual
EDWARD G WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
5100 W TAFT RD, SUITE 1C, LIVERPOOL, NY 13088-3807
(315) 452-2333
(315) 452-2336
Mailing address
5100 W TAFT RD, SUITE 1C, LIVERPOOL, NY 13088-3807
(315) 452-2333
(315) 452-2336
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0040681
NY
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
004068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02366030
—
NY
Enumeration date
04/05/2006
Last updated
02/26/2019
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