MEDICARE: DR. MICHAEL JAY HOROWITZ DC

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	111N00000X	Chiropractor	38MC00462100	NJ
2	111N00000X	Chiropractor	007885	NY

General Provider Information

NPI Number	:	1922157205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JAY HOROWITZ DC

Provider Business Mailing Address
First Line	:	2 MANOR DR
Second Line	:
City	:	MARLBORO
State	:	NJ
Zip	:	07746-1969
Country	:	US
Telephone Number	:	732-598-2937
Fax Number	:	212-785-1168

Provider Business Practice Location Address
First Line	:	80 WALL ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10005-3601
Country	:	US
Telephone Number	:	732-598-2937
Fax Number	:	212-785-1168

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	07/08/2007

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