Healthcare Provider Details

I. General information

NPI: 1598357238
Provider Name (Legal Business Name): HORIZON CFS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2021
Last Update Date: 02/04/2021
Certification Date: 02/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 E 23RD ST
BROOKLYN NY
11210-4521
US

IV. Provider business mailing address

1224 E 23RD ST
BROOKLYN NY
11210-4521
US

V. Phone/Fax

Practice location:
  • Phone: 718-506-0725
  • Fax: 718-421-9157
Mailing address:
  • Phone: 718-506-0725
  • Fax: 718-421-9157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MARTIN ITZKOWITZ
Title or Position: CEO
Credential:
Phone: 917-865-8727