| Doctor Name: | MS. SANDRA MARIA WOLF |
| NPI Number: | 1104086487 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 005485 |
| Business Practice Address: | 31 Merrick Ave Suite 230 Merrick, NY - 115663477 |
| Business Phone Number: | 5163772820 |
| Business Fax Number: | 5163782968 |
| Mailing Address: | 143 Friendship Dr, ROCKY POINT |
| State: | NY |
| Postal Code: | 117789657 |
| Phone Number: | 6317442020 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2008 |
| NPI Last Update Date: | 01/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 005485 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |