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Physician Compare National (NPI:1154490530)

HEALTHCARE PROVIDER: MARK DAVID HOROWITZ MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1154490530
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7618153156
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110517000475
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HOROWITZ
Individual professional last name
Provider First Name MARK
Individual professional first name
Provider Middle Name D.
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1983
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 RHEUMATOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties RHEUMATOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 21 E 90TH ST
Group Practice or individual's line 1 address
City NEW YORK
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 101280654
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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