Provider Demographics
NPI:1518842970
Name:WOLFSON, ANDREW (MS, MT-BC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:WOLFSON
Suffix:
Gender:M
Credentials:MS, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 SHERRY LN
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-4724
Mailing Address - Country:US
Mailing Address - Phone:212-288-8107
Mailing Address - Fax:
Practice Address - Street 1:70 SHERRY LN
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4724
Practice Address - Country:US
Practice Address - Phone:212-288-8107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist