MEDICARE: NY HORIZON SOLUTIONS LLC

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	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1649846973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NY HORIZON SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	738 SMITHTOWN BYP STE 204
Second Line	:
City	:	SMITHTOWN
State	:	NY
Zip	:	11787-5024
Country	:	US
Telephone Number	:	631-935-9022
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 MCDONALD AVE STE 1A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3823
Country	:	US
Telephone Number	:	718-775-8422
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AMMAR TAHA
Credential	:	MD
Telephone Number	:	631-935-9022

Provider Enumeration Date	:	05/27/2021
Last Update Date	:	05/27/2021

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