Individual
RACHELLE AMANDA WOLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
726 BROADWAY STE 350, NEW YORK, NY 10003-9616
(212) 443-1300
Mailing address
726 BROADWAY STE 350, NEW YORK, NY 10003-9616
(212) 443-1322
(212) 995-4767
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
019032976
IL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
063099
NY
Other
Enumeration date
11/01/2019
Last updated
04/16/2026
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