Provider Demographics
NPI:1730112897
Name:WOLNER, RON KEVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:RON
Middle Name:KEVIN
Last Name:WOLNER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2 TOWER PL
Mailing Address - Street 2:EXECUTIVE PARK
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3735
Mailing Address - Country:US
Mailing Address - Phone:518-482-3169
Mailing Address - Fax:518-446-9979
Practice Address - Street 1:2 TOWER PL
Practice Address - Street 2:EXECUTIVE PARK
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3735
Practice Address - Country:US
Practice Address - Phone:518-482-3169
Practice Address - Fax:518-446-9979
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2023-09-06
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Provider Licenses
StateLicense IDTaxonomies
NY1507892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY50387BMedicare UPIN