Healthcare Provider Details

I. General information

NPI: 1598785677
Provider Name (Legal Business Name): WILLIAM JOSEPH WOLFF MSFNPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 12/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9562 STATE ROUTE 13 ONEIDA MEDICAL ASSOCIATES PLLC
CAMDEN NY
13316-4940
US

IV. Provider business mailing address

9562 STATE ROUTE 13
CAMDEN NY
13316-3832
US

V. Phone/Fax

Practice location:
  • Phone: 315-245-5029
  • Fax: 315-245-5056
Mailing address:
  • Phone: 315-245-5029
  • Fax: 315-245-5056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF334046
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: