Dworkin, Earl
Dworkin, Earl is an sole proprietor health care provider with primary practice located at 1430 Valencia Rd , Schenectady NY 12309-4318. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dworkin, Earl can be contacted via phone (518) 374-7925.Contact Information
Primary practice address
1430 Valencia Rd
Schenectady NY 12309-4318
Phone: (518) 374-7925
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 003374-1 | New York |
Profile Details
NPI number | 1164567533 |
---|---|
LBN Legal business name | Dworkin, Earl |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 21st, 2007 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164567533 | NPPES |
New York | MEDICAID | 02549177 |
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