Healthcare Provider Details
I. General information
NPI: 1497083349
Provider Name (Legal Business Name): HORIZON HEALTH & SURGICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/03/2009
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7406 5TH AVE
BROOKLYN NY
11209-2704
US
IV. Provider business mailing address
7406 5TH AVE
BROOKLYN NY
11209-2704
US
V. Phone/Fax
- Phone: 718-238-4501
- Fax: 718-238-4540
- Phone: 718-238-4501
- Fax: 718-238-4540
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336I0012X |
| Taxonomy | Institutional Pharmacy |
| License Number | 029828 |
| License Number State | NY |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336M0003X |
| Taxonomy | Managed Care Organization Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MOHAMMAD
SALEEM
Title or Position: SUPERVISING PHARMACIST
Credential:
Phone: 718-238-4501