Provider Demographics
NPI:1598961096
Name:WOLF, SHARI LYNN (MT)
Entity Type:Individual
Prefix:MS
First Name:SHARI
Middle Name:LYNN
Last Name:WOLF
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4303 223RD ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2439
Mailing Address - Country:US
Mailing Address - Phone:718-229-4538
Mailing Address - Fax:
Practice Address - Street 1:SOUTH NASSAU COMMUNITIES HOSPITAL
Practice Address - Street 2:ONE HEALTHY WAY
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572
Practice Address - Country:US
Practice Address - Phone:516-632-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health