Organization
KENNETH J WOLF MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JOEL WOLF MD (PRES)
(718) 892-6110
Entity
Organization
Contact information
Practice address
1180 MORRIS PARK AVE, BRONX, NY 10461-1925
(718) 892-6110
(718) 892-6111
Mailing address
1180 MORRIS PARK AVE, BRONX, NY 10461-1925
(718) 892-6110
(718) 892-6111
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
123855
NY
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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