Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 8011107 | NH |
NPI | 1427239490 |
---|---|
Provider Name | Dr. Andrew Horonick |
First Address | Portsmouth, NH 03801-5915 |
Second Address | Portsmouth, NH 03801-5915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2007 |
Last Update Date | 19/11/2007 |