Individual
JUDITH WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 S LODER AVE, ENDICOTT, NY 13760-4810
(607) 757-2168
Mailing address
101 S LODER AVE, ENDICOTT, NY 13760-4810
(607) 757-2168
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
322847-1
NY
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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