Most Relevant Information
Provider Data
| NPI Number: | 1003338096 |
| Provider Name: | MEGAN MARIE WOLFE NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 341806 |
Most Important Dates
| Enumeration Date: | 07/11/2017 |
| Last Updated: | 09/29/2017 |
Provider Practice Location
5100 W TAFT RD STE 1C
LIVERPOOL
NY
130883808
Practice Location Phone/Fax
| Phone: | 3157441833 |
| Fax: | 3154522336 |
Provider Mailing Location
301 PROSPECT AVE RM 1605
SYRACUSE
NY
132031807
Provider Mailing Phone/Fax
| Phone: | 3157441865 |
| Fax: | 3157441954 |