| Doctor Name: | MR. PAUL JOHN WOLFE |
| NPI Number: | 1881830792 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CERTIFIED PEORTHIST |
| License Number: | CPED1274 |
| Business Practice Address: | 100 Route 90 Castle Point, NY - 12511 |
| Business Phone Number: | 8458312000 |
| Business Fax Number: | 8458385202 |
| Mailing Address: | 423 E 23rd St, 14th Floor Prosthetic Svc NEW YORK |
| State: | NY |
| Postal Code: | 100105011 |
| Phone Number: | 2126867500 |
| Fax Number: | 2129513333 |
| NPI Enumeration Date: | 12/23/2008 |
| NPI Last Update Date: | 12/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | CPED1274 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |