Organization
DENISE C. WOLKEN, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE C. WOLKEN MD (MANAGER)
(315) 991-4180
Entity
Organization
Contact information
Practice address
4000 MEDICAL CENTER DR, SUITE 214, FAYETTEVILLE, NY 13066-6624
(315) 991-4180
(315) 991-4046
Mailing address
115 WOODSIDE DR, SYRACUSE, NY 13224-1831
(315) 415-0886
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
190114
NY
Other
Enumeration date
11/15/2017
Last updated
07/08/2024
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