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NPI Code Detail

MEDICARE: MRS. JULIE ANN WOLF

MEDICARE: MRS. JULIE ANN WOLF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist016586NY

General Provider Information

NPI Number : 1487954244
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE ANN WOLF
Provider Business Mailing Address
First Line : 350 COOPER RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-3009
Country : US
Telephone Number : 585-336-3119
Fax Number : 585-336-3072
Provider Business Practice Location Address
First Line : 350 COOPER RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-3009
Country : US
Telephone Number : 585-336-3119
Fax Number : 585-336-3072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2010
Last Update Date : 09/16/2011

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Directions to “ MRS. JULIE ANN WOLF ” Practice Location

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