# KENNETH J WOLF MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134315104
- **Authorized official:** DR. KENNETH JOEL WOLF MD (PRES)
- **Authorized official phone:** (718) 892-6110

## Contact information

- **Practice address:** 1180 MORRIS PARK AVE, BRONX, NY 10461-1925
- **Practice address phone:** (718) 892-6110
- **Practice address fax:** (718) 892-6111
- **Mailing address:** 1180 MORRIS PARK AVE, BRONX, NY 10461-1925
- **Mailing address phone:** (718) 892-6110
- **Mailing address fax:** (718) 892-6111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 123855 | NY | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 09/24/2007