Provider Demographics
NPI:1306825559
Name:WOLFE, MARY J (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:J
Last Name:WOLFE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2649 STRANG BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-2938
Mailing Address - Country:US
Mailing Address - Phone:914-739-0087
Mailing Address - Fax:914-737-1714
Practice Address - Street 1:14 CHURCH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4831
Practice Address - Country:US
Practice Address - Phone:914-941-1334
Practice Address - Fax:914-941-2840
Is Sole Proprietor?:No
Enumeration Date:2006-01-15
Last Update Date:2016-12-12
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Provider Licenses
StateLicense IDTaxonomies
NY137843207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY130682559OtherNPI
NY71D13ANN71Medicare PIN
NY130682559OtherNPI
NYA400098438Medicare PIN