Individual
MRS. ANDREA K DWORKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC/SLP
Contact information
Practice address
98 MADISON AVE, ISLAND PARK, NY 11558-2013
(516) 330-9812
Mailing address
98 MADISON AVENUE, ISLAND PARK, NY 11558-2013
(516) 330-9812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0026383-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026383-1
NY STATE LICENSE
NY
Enumeration date
10/30/2008
Last updated
10/30/2008
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