Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Denise C. Wolken, MD PLLC

Organization Pediatrics Physician · NPI 1225541022

Denise C. Wolken, MD PLLC provides Pediatrics Physician services in Fayetteville, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4000 Medical Center Dr Ste 214
Fayetteville, NY 13066-6624
Phone: (315) 991-4180
Fax: (315) 991-4046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 190114 (NY)

Record details

NPI number1225541022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Wolken — Manager · (315) 991-4180
NPI enumeratedNovember 15, 2017
Last updated in NPPESJuly 8, 2024
Certification dateJune 28, 2024
Mailing address115 Woodside Dr, Syracuse, NY 13224-1831

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