Individual
AVIVA GOLD DWORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9359
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9359
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
317825
NY
Other
Enumeration date
04/09/2019
Last updated
08/16/2022
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