Individual
MRS. ELIZABETH WOLFE-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
14 BOND ST, GREAT NECK, NY 11021-2045
(347) 236-7847
Mailing address
646 19TH ST, BROOKLYN, NY 11218-1048
(718) 686-2910
(718) 686-2910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002031-1
NY
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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