Provider Demographics
NPI:1285402859
Name:WOLKENFELD, TZVI (DPT, BA, BS)
Entity type:Individual
Prefix:
First Name:TZVI
Middle Name:
Last Name:WOLKENFELD
Suffix:
Gender:M
Credentials:DPT, BA, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1227
Mailing Address - Country:US
Mailing Address - Phone:862-930-0658
Mailing Address - Fax:
Practice Address - Street 1:1530 PALISADE AVE # 7024
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5471
Practice Address - Country:US
Practice Address - Phone:201-363-8880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02227100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist