MEDICARE: MARISA WOLFF DO PLLC

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	271334	NY

General Provider Information

NPI Number	:	1881107332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARISA WOLFF DO PLLC

Provider Business Mailing Address
First Line	:	18 CONGRESS ST
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-4171
Country	:	US
Telephone Number	:	518-350-4694
Fax Number	:	518-350-6563

Provider Business Practice Location Address
First Line	:	18 CONGRESS ST
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-4171
Country	:	US
Telephone Number	:	518-350-4694
Fax Number	:	518-309-6563

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARISA WOLFF
Credential	:
Telephone Number	:	518-350-4694

Provider Enumeration Date	:	11/07/2017
Last Update Date	:	05/05/2026

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