Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 149879 | NY |
NPI | 1023009289 |
---|---|
Provider Name | Richard Horowitz |
First Address | Rockville Centre, NY 11570-5254 |
Second Address | Rockville Centre, NY 11570-5254 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 03/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00705546 | (05) | NY |
D93063 | (02) | NY |