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General NPI Number Information
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NPI Number | 1679697312
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Entity Type | Organization
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Legal Business Name | MARK HOROWITZ MD PEDIATRIC UROLOGY PLLC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 256 MASON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305
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Country | US
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Telephone | 718-226-1271
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Fax | 718-226-1247
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Provider Business Mailing Address
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Address Line | PO BOX 1061
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City | GREAT NECK
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State | NY
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Zip | 11023
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Country | US
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Telephone | 718-226-1271
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Fax | 718-226-1247
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Authorized Official
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Title or Position | OWNER
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Name | MARK HOROWITZ
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Credential | MD
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Telephone | 718-226-1271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | 60172766
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 60172766
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License Number State | NY
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