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Contact Information

DAN ANTONESCU WOLF, MD
989 W JERICHO TPKE
SMITHTOWN, NY11787
 Phone: 631-864-7100
 Fax: 631-864-7129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for DAN ANTONESCU WOLF · (Male)

NPI Number 1609884667
Status Active
Credentials MD
Entity Individual
Enumeration date 08/04/2006
Last updated 06/02/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 152817
  • NY Medicaid 00894564
  • Other P00354563 RAILROAD MEDICARE
  • NY Other 0118403 GHI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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