Wolfe, Edward G

Wolfe, Edward G is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 1C, Liverpool NY 13088-3807. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Wolfe, Edward G can be contacted via phone (315) 452-2333.

Contact Information

Primary practice address
5100 W Taft Rd Suite 1C Liverpool NY 13088-3807
Phone: (315) 452-2333
Fax: (315) 452-2336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0040681 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004068 New York

Profile Details

NPI number 1669434536
LBN Legal business name Wolfe, Edward G
Credentials RPA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Feb 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669434536 NPPES
New York MEDICAID 02366030

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