Healthcare Provider Details

I. General information

NPI: 1144211202
Provider Name (Legal Business Name): SCOTT A HOROWITZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 HILTON AVE STE 112
HEMPSTEAD NY
11550-8116
US

IV. Provider business mailing address

230 HILTON AVE STE 112
HEMPSTEAD NY
11550-8116
US

V. Phone/Fax

Practice location:
  • Phone: 917-678-1097
  • Fax: 631-421-2082
Mailing address:
  • Phone: 917-678-1097
  • Fax: 631-421-2082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number232707
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: