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Individual

MELISSA DWORKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 2ND AVE, 6TH FLOOR, NEW YORK, NY 10017-4709
(212) 686-6066
(212) 779-7724
Mailing address
800 2ND AVE, 6TH FLOOR, NEW YORK, NY 10017-4709
(212) 686-6066
(212) 779-7724

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
208970
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01896937
NY
01
0667910001
DME
NY
01
P00388720
MEDICARE RAILROAD
NY
Enumeration date
01/30/2007
Last updated
02/22/2012
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