Individual
ROMAN DWORECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 E 14TH ST STE A, NEW YORK, NY 10009-2706
(212) 677-3200
(212) 529-4318
Mailing address
409 E 14TH ST STE A, NEW YORK, NY 10009-2706
(212) 677-3200
(212) 529-4318
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
136836
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00573377
—
NY
Enumeration date
08/07/2006
Last updated
11/29/2011
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