# KA BOCK MD PLLC

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

## Provider details

- **NPI number:** 1164780987
- **Authorized official:** DR. KENNETH A BOCK M.D. (OWNER)
- **Authorized official phone:** (845) 158-0001

## Contact information

- **Practice address:** 50 OLD FARM RD, RED HOOK, NY 12571-1633
- **Practice address phone:** (845) 758-0001
- **Practice address fax:** (845) 758-0022
- **Mailing address:** 50 OLD FARM RD, RED HOOK, NY 12571-1633
- **Mailing address phone:** (845) 758-0001
- **Mailing address fax:** (845) 758-0022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 150111-1 | NY | Yes |

## Other

- **Enumeration date:** 04/30/2012
- **Last updated:** 11/02/2012