Organization
KA BOCK MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A BOCK M.D. (OWNER)
(845) 158-0001
Entity
Organization
Contact information
Practice address
50 OLD FARM RD, RED HOOK, NY 12571-1633
(845) 758-0001
(845) 758-0022
Mailing address
50 OLD FARM RD, RED HOOK, NY 12571-1633
(845) 758-0001
(845) 758-0022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
150111-1
NY
Other
Enumeration date
04/30/2012
Last updated
11/02/2012
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