| Mark Dworkin Lcsw Pc | |
|
251 Mercury St East Meadow NY 11554-1222 | |
| (516) 731-7611 | |
| (516) 579-0171 |
| Full Name | Mark Dworkin Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 251 Mercury St, East Meadow, New York |
| Authorized Official Name and Position | Mark Dworkin (OWNER) |
| Authorized Official Contact | 5167317611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Dworkin Lcsw Pc 251 Mercury St East Meadow NY 11554-1222 Ph: (516) 731-7611 | Mark Dworkin Lcsw Pc 251 Mercury St East Meadow NY 11554-1222 Ph: (516) 731-7611 |
| NPI Number | 1205110343 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 06/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205110343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | PR024359-1 (New York) | Primary |
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