Healthcare Provider Details

I. General information

NPI: 1528084274
Provider Name (Legal Business Name): HAROLD W. HOROWITZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 6TH ST
BROOKLYN NY
11215-3609
US

IV. Provider business mailing address

506 6TH ST
BROOKLYN NY
11215-3609
US

V. Phone/Fax

Practice location:
  • Phone: 718-780-5257
  • Fax: 718-780-3259
Mailing address:
  • Phone: 718-780-5257
  • Fax: 718-780-3259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number155554
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: