Provider Demographics
NPI:1700961703
Name:WOLKOFF, ALLAN W (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:W
Last Name:WOLKOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1300 MORRIS PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1926
Mailing Address - Country:US
Mailing Address - Phone:718-430-3798
Mailing Address - Fax:718-430-8975
Practice Address - Street 1:1300 MORRIS PARK AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1926
Practice Address - Country:US
Practice Address - Phone:718-430-3798
Practice Address - Fax:718-430-8975
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY116997207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology