MEDICARE: DR. TODD H HOROWITZ D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	010806	NY

General Provider Information

NPI Number	:	1235229642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD H HOROWITZ D.C.

Provider Business Mailing Address
First Line	:	1015 W BEECH ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-1203
Country	:	US
Telephone Number	:	516-889-6900
Fax Number	:	516-897-5833

Provider Business Practice Location Address
First Line	:	1015 W BEECH ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-1203
Country	:	US
Telephone Number	:	516-889-6900
Fax Number	:	516-897-5833

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2006
Last Update Date	:	06/10/2010

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