Organization
JONATHAN D WOLFE OD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DAVID WOLFE OD (OWNER, OPTOMETRIST)
(646) 341-0282
Entity
Organization
Contact information
Practice address
875 SAW MILL RIVER RD, ARDSLEY, NY 10502-1117
(914) 222-4694
(914) 222-5299
Mailing address
875 SAW MILL RIVER RD, ARDSLEY, NY 10502-1117
(914) 222-4694
(914) 222-5299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03992101
—
NY
Enumeration date
06/05/2019
Last updated
08/21/2019
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