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Individual
MR. GERALD WALTER DWYER
Active
Individual
MR. GERALD WALTER DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R054922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000100400301
HEALTH PLUS
NY
05
—
0211582
—
NY
01
—
132568
1199EIU NATIONAL BENEFIT
NY
01
—
198504
COMPSYCH CORPORATION
NY
01
—
62-27456
UNITED HEALTHCARE SERVICE
NY
01
—
P2533945
OXFORD HEALTH PLAN
NY
Enumeration date
03/25/2007
Last updated
07/08/2007
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