Individual
DR. ILANA DWORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
110 E 40TH ST, SUITE 206, NEW YORK, NY 10016-1801
(212) 692-9288
Mailing address
110 E 40TH ST, SUITE 206, NEW YORK, NY 10016-1801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019698
NY
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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