Healthcare Provider Details
I. General information
NPI: 1386552065
Provider Name (Legal Business Name): HORIZON NY MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11524A MYRTLE AVE
RICHMOND HILL NY
11418-1719
US
IV. Provider business mailing address
11524A MYRTLE AVE
RICHMOND HILL NY
11418-1719
US
V. Phone/Fax
- Phone: 718-480-6063
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SAGY
GRINBERG
Title or Position: PRESIDENT
Credential: MD
Phone: 718-480-6063