Individual
DR. ROBERT DWORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
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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