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General NPI Number Information
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NPI Number | 1407875966
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Entity Type | Individual
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Provider Name | CHARLES J WOLFF DPM
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 2 CROSFIELD AVE SUITE 302
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City | WEST NYACK
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State | NY
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Zip | 10994-2226
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Country | US
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Telephone | 845-358-2844
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Fax | 845-358-0528
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Provider Business Mailing Address
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Address Line | 2 CROSFIELD AVE SUITE 302
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City | WEST NYACK
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State | NY
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Zip | 10994-2226
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Country | US
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Telephone | 845-358-2844
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Fax | 845-358-0528
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N004857
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2058
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License Number State | NJ
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