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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164567533 NPPES
New York MEDICAID 02549177

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