Provider Demographics
NPI:1801998950
Name:WOLF, DAVID CARY (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:CARY
Last Name:WOLF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19 BRADHURST AVE
Mailing Address - Street 2:SUITE 3100N
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2140
Mailing Address - Country:US
Mailing Address - Phone:914-909-9018
Mailing Address - Fax:914-909-9028
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:TRANSPLANT DEPARTMENT -A WING LOWER LEVEL
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-8916
Practice Address - Fax:914-493-1097
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY167057207RT0003X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RT0003XAllopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP01036998OtherRAILROAD MEDICARE
NY01463643Medicaid
NY01463643Medicaid
NY0W0197OtherHEALTHNET
NY2172818OtherAETNA HMO
NY02H3434551Medicare PIN
NY000000045458OtherGHI HMO
NY167057-A1SOtherHEALTHFIRST
NY4465650OtherAETNA PPO
NY947654OtherMVP
NYNS2029OtherOXFORD
NY003612OtherCONNECTICARE
NY2V2811OtherEMPIRE BC/BS
NY167057OtherHIP
NYE85660Medicare UPIN