Keith Merrill Dworkin OD

NPI 1013015379 - Optometrist - 152W00000X

NPI Details
NPI 1013015379
Gender Male
Enumeration Date 09/20/2006
Last Updated 04/30/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
137 E MAIN ST
SMITHTOWN NY, 11787-2808, US
Phone (631) 265-2287
Fax (631) 265-0161
Business Location
137 E MAIN ST
SMITHTOWN NY, 11787-2808, US
Phone (631) 265-2287
Fax (631) 265-0161
Toxanomy
Taxonomy Code 152W00000X
License State New York
License Number VUT004488
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According to our database, Dr. Keith Merrill Dworkin OD NPI is 1013015379, taxonomy code is 152W00000X and license number is VUT004488, license state is located at New York. Keith Merrill Dworkin OD physically located at 137 E Main St, Smithtown NY, 11787-2808. NPI Number Keith Merrill Dworkin OD has the Individual type.

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1013015379 NPI number is provided on an as is basis without warranty of any kind. 1013015379 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Merrill Dworkin OD are for informational purposes only.