=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255788527
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STORM HORINE MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/17/2016
-----------------------------------------------------
Last Update Date | 08/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 429 E 75TH ST FL 5
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10021-3102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-606-1974
-----------------------------------------------------
Fax | 917-260-4824
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | GPO BOX 27578
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10087-7578
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 844-268-4820
-----------------------------------------------------
Fax | 631-201-3179
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number | 303501
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207LP2900X
-----------------------------------------------------
Taxonomy Name | Pain Medicine (Anesthesiology) Physician
-----------------------------------------------------
License Number | 303501
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------