MEDICARE: MARISA WOLFF DO

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
1	207N00000X	Dermatology Physician	UO3036	FL

General Provider Information

NPI Number	:	1588929046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISA WOLFF DO

Provider Business Mailing Address
First Line	:	6 S POINT RD
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-5463
Country	:	US
Telephone Number	:	518-421-4794
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 CONGRESS ST
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-4171
Country	:	US
Telephone Number	:	518-944-8819
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2012
Last Update Date	:	05/05/2026

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