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Organization

SCHOOL STREET ANESTHESIA, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS WOLF MD (PRESIDENT)
(516) 640-5863
Entity
Organization

Contact information

Practice address
2415 JERUSALEM AVE, SUITE 100, NORTH BELLMORE, NY 11710-1870
(516) 640-5863
Mailing address
PO BOX 709, GLEN COVE, NY 11542-0709
(516) 640-5863

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
11/25/2008
Last updated
11/25/2008
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