Healthcare Provider Details

I. General information

NPI: 1417882093
Provider Name (Legal Business Name): JENNIFER HOROWITZ
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10470 QUEENS BLVD FL 2
FOREST HILLS NY
11375-3638
US

IV. Provider business mailing address

11 MAPLE ST APT B5
BROOKLYN NY
11225-5030
US

V. Phone/Fax

Practice location:
  • Phone: 888-272-9355
  • Fax:
Mailing address:
  • Phone: 516-350-7835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: