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NPI Code Detail

MEDICARE: JEFFREY HORWITZ D.O.

MEDICARE:   JEFFREY  HORWITZ  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician160043NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093800096
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY HORWITZ D.O.
Provider Business Mailing Address
First Line : 250S SERVICE RD
Second Line :
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-2137
Country : US
Telephone Number : 516-622-6196
Fax Number :
Provider Business Practice Location Address
First Line : 10201 66TH RD
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-2029
Country : US
Telephone Number : 800-376-5566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 10/28/2015

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