Individual
DR. KEITH MERRILL DWORKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
137 E MAIN ST, SMITHTOWN, NY 11787-2808
(631) 265-2287
(631) 265-0161
Mailing address
137 E MAIN ST, SMITHTOWN, NY 11787-2808
(631) 265-2287
(631) 265-0161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT004488
NY
Other
Enumeration date
09/20/2006
Last updated
04/30/2008
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