Individual
KENNETH ALAN BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
06/05/2006
Last updated
11/02/2012
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