Healthcare Provider Details

I. General information

NPI: 1669567459
Provider Name (Legal Business Name): ANTHONY S HORVATH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 12/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 LORD AVE
INWOOD NY
11096-2206
US

IV. Provider business mailing address

70 LORD AVE
INWOOD NY
11096-2206
US

V. Phone/Fax

Practice location:
  • Phone: 516-239-1823
  • Fax: 516-371-6220
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number129-404
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: