Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 080075-1 | NY |
NPI | 1528388907 |
---|---|
Provider Name | Mr. Harvey Irwin Wolfe |
First Address | Boca Raton, FL 33433 |
Second Address | Great Neck, NY 11020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2010 |
Last Update Date | 08/06/2010 |