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Organization
MARK DWORKIN LCSW PC
Active
Organization
MARK DWORKIN LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DWORKIN LCSW (OWNER)
(516) 731-7611
Entity
Organization
Contact information
Practice address
251 MERCURY ST, EAST MEADOW, NY 11554-1222
(516) 731-7611
(516) 579-0171
Mailing address
251 MERCURY ST, EAST MEADOW, NY 11554-1222
(516) 731-7611
(516) 579-0171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR024359-1
NY
Other
Enumeration date
10/07/2011
Last updated
06/12/2012
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