Provider Demographics
NPI:1659586881
Name:WILLIAM WOLFSON,D.M.D.,P.C.
Entity Type:Organization
Organization Name:WILLIAM WOLFSON,D.M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:1718-863-5077
Mailing Address - Street 1:960 MORRIS PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3715
Mailing Address - Country:US
Mailing Address - Phone:718-863-5077
Mailing Address - Fax:718-863-7921
Practice Address - Street 1:960 MORRIS PARK AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3715
Practice Address - Country:US
Practice Address - Phone:718-863-5077
Practice Address - Fax:718-863-7921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty