Individual
DR. ROBERT DWORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006933
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040345901
UNIVERA
NY
01
—
000912159001
BS WNY/HEALTHNOW
NY
05
—
01719768
—
NY
01
—
2222
BLUE SHIELD GROUP
NY
01
—
361562
MVP PROVIDER ID
NY
01
—
5399016
GHI
NY
01
—
7843175
AETNA
NY
01
—
G0180921590
BLUE CHOICE GROUP
NY
01
—
MDG077
PREFERRED CARE
NY
01
—
S06933-6W
WORKER'S COMP
NY
Enumeration date
07/19/2006
Last updated
07/09/2007
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