Provider Demographics
NPI:1689983959
Name:WOLNY, PAULETTE V (PA-C)
Entity Type:Individual
Prefix:MS
First Name:PAULETTE
Middle Name:V
Last Name:WOLNY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:355 BARD AVE
Mailing Address - Street 2:SURGERY
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-1664
Mailing Address - Country:US
Mailing Address - Phone:718-818-2420
Mailing Address - Fax:718-818-1252
Practice Address - Street 1:355 BARD AVE
Practice Address - Street 2:SURGERY
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1664
Practice Address - Country:US
Practice Address - Phone:718-818-2420
Practice Address - Fax:718-818-1252
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2010-10-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant