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Individual

BRAD MITCHELL DWORKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
NYMC-MUNGER PAVILION, SUITE 206, VALHALLA, NY 10595
(914) 493-7337
(914) 594-4317
Mailing address
NYMC-MUNGER PAVILION, SUITE 206, VALHALLA, NY 10595
(914) 493-7337
(914) 594-4317

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
131555
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000046383
GHI HMO
NY
01
003890
CONNECTICARE
NY
01
0088041
GHI PPO
NY
01
0W0194
HEALTHNET
NY
01
100013636
RAILROAD MEDICARE
NY
01
117417
WELLCARE
NY
01
131555
HIP
NY
01
131555-A1S
HEALTHFIRST
NY
01
2172814
AETNA HMO
NY
01
4416441
AETNA PPO
NY
01
727144
MVP
NY
01
73A161
EMPIRE BC/BS
NY
01
WS434
OXFORD
NY
Enumeration date
08/31/2006
Last updated
07/23/2013
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