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Mr. Jason Andrew Wolk, RN
Pediatric Registered Nurse in Manorville, New York
NPI 1407013477

Jason Andrew Wolk is a Pediatric Registered Nurse based in Manorville, NY and is specialized in Pediatrics. Jason Andrew Wolk practices in Manorville, NY and has the professional credentials of RN. The NPI Number for Jason Andrew Wolk is 1407013477 and holds a License No. 528454-1 (New York).

The current practice location address for Jason Andrew Wolk is 26 Winding Path Apt 15, Manorville, NY and can be reached out via phone at 516-987-6607.

Location: 26 Winding Path Apt 15, Manorville, NY, 11949-2258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407013477
Provider Name
Jason Andrew Wolk
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
26 Winding Path Apt 15, Manorville, NY, 11949-2258
Phone Number
516-987-6607
Fax Number
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02365731 05 NY
institution
Provider Business Practice Location Address Details
Address
26 Winding Path Apt 15
City
Manorville
State
New York
Zip
11949-2258
Phone Number
516-987-6607
Fax Number
person
Provider Business Mailing Address Details
Address
26 Winding Path Apt 15
City
Manorville
State
New York
Zip
11949-2258
Phone Number
516-987-6607
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
528454-1 (New York)
Definition
Definition to come...
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