Healthcare Provider Details

I. General information

NPI: 1316523020
Provider Name (Legal Business Name): ABRAHAM HOROWITZ M.S. ORT/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2117 MCCOMAS WAY STE 105
VIRGINIA BEACH VA
23456-3908
US

IV. Provider business mailing address

1377 MOTOR PKWY STE 307
ISLANDIA NY
11749-5258
US

V. Phone/Fax

Practice location:
  • Phone: 757-427-5505
  • Fax: 757-427-5503
Mailing address:
  • Phone: 914-294-4050
  • Fax: 631-760-8306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119008959
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: