Healthcare Provider Details

I. General information

NPI: 1710946827
Provider Name (Legal Business Name): CLAUDE D WOLGEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

934 MANHATTAN AVE
BROOKLYN NY
11222-5928
US

IV. Provider business mailing address

934 MANHATTAN AVE
BROOKLYN NY
11222-5928
US

V. Phone/Fax

Practice location:
  • Phone: 718-389-8585
  • Fax: 929-455-9768
Mailing address:
  • Phone: 718-389-8585
  • Fax: 929-455-9768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number135093
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: