MEDICARE: ALVIN HORING DDS PC

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
1	122300000X	Dentist

General Provider Information

NPI Number	:	1417160235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALVIN HORING DDS PC

Provider Business Mailing Address
First Line	:	908 ATLANTIC AVENUE
Second Line	:
City	:	BALDWIN
State	:	NY
Zip	:	11510-4241
Country	:	US
Telephone Number	:	516-546-9220
Fax Number	:	516-546-9221

Provider Business Practice Location Address
First Line	:	908 ATLANTIC AVENUE
Second Line	:
City	:	BALDWIN
State	:	NY
Zip	:	11510-4241
Country	:	US
Telephone Number	:	516-546-9220
Fax Number	:	516-546-9221

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALAN HORING
Credential	:	DDS
Telephone Number	:	516-546-9220

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	08/22/2020

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