Individual
RENEE WOHLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9177
Mailing address
52 CLINTON AVE, PLEASANTVILLE, NY 10570-3252
(925) 864-4168
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017139-1
NY
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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