Healthcare Provider Details

I. General information

NPI: 1467219808
Provider Name (Legal Business Name): SCOTT HOROWITZ MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 MAPLEWOOD RD
HUNTINGTON STATION NY
11746-2854
US

IV. Provider business mailing address

305 MAPLEWOOD RD
HUNTINGTON STATION NY
11746-2854
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT HOROWITZ
Title or Position: PRESIDENT
Credential: MD
Phone: 917-678-1097