Healthcare Provider Details
I. General information
NPI: 1821894981
Provider Name (Legal Business Name): HORIZON PSYCHIATRY SERVICES P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2025
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29 LITTLE NASSAU ST
BROOKLYN NY
11205-5266
US
IV. Provider business mailing address
29 LITTLE NASSAU ST
BROOKLYN NY
11205-5266
US
V. Phone/Fax
- Phone: 718-360-0580
- Fax:
- Phone: 718-360-0580
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEONARDO
VANDO
Title or Position: SOLE MEMBER
Credential: MD
Phone: 718-360-0580