Healthcare Provider Details

I. General information

NPI: 1295665347
Provider Name (Legal Business Name): WOLAK WELLNESS & RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 MADISON AVE
NEW YORK NY
10016-6711
US

IV. Provider business mailing address

136 MADISON AVE
NEW YORK NY
10016-6711
US

V. Phone/Fax

Practice location:
  • Phone: 646-722-3321
  • Fax: 716-214-4854
Mailing address:
  • Phone: 646-722-3321
  • Fax: 716-214-4854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK WOLAK
Title or Position: MANAGING MEMBER
Credential: M.D.
Phone: 646-722-3321