MEDICARE: DR. WILLIAM HURWITZ

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	1223G0001X	General Practice Dentistry	026189	NY

General Provider Information

NPI Number	:	1811168867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM HURWITZ

Provider Business Mailing Address
First Line	:	630 FIFTH AVENUE
Second Line	:	1862
City	:	NEW YORK
State	:	NY
Zip	:	10111
Country	:	US
Telephone Number	:	212-246-3511
Fax Number	:	212-757-6077

Provider Business Practice Location Address
First Line	:	630 FIFTH AVENUE
Second Line	:	1862
City	:	NEW YORK
State	:	NY
Zip	:	10111
Country	:	US
Telephone Number	:	212-246-3511
Fax Number	:	212-757-6077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2008
Last Update Date	:	03/18/2008

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