MEDICARE: NEW HORIZONS MEDICAL SERVICES,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	174400000X	Specialist	199382	NY

General Provider Information

NPI Number	:	1699928879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZONS MEDICAL SERVICES,PC

Provider Business Mailing Address
First Line	:	4801 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2937
Country	:	US
Telephone Number	:	718-972-9712
Fax Number	:	718-972-9714

Provider Business Practice Location Address
First Line	:	4801 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2937
Country	:	US
Telephone Number	:	718-972-9712
Fax Number	:	718-972-9714

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LOUIS H THELUSMOND
Credential	:	MD
Telephone Number	:	718-972-9712

Provider Enumeration Date	:	10/31/2008
Last Update Date	:	10/02/2009

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