Most Relevant Information
Provider Data
| NPI Number: | 1003063546 |
| Provider Name: | GINA WOLFF LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 215266 |
Most Important Dates
| Enumeration Date: | 08/27/2008 |
| Last Updated: | 08/27/2008 |
Provider Practice Location
102 AUBORN AVE
SHIRLEY
NY
119671738
Practice Location Phone/Fax
| Phone: | 6313992870 |
| Fax: |
Provider Mailing Location
102 AUBORN AVE
SHIRLEY
NY
119671738
Provider Mailing Phone/Fax
| Phone: | 6313992870 |
| Fax: |