Horowitz, Jeffrey Robert

Horowitz, Jeffrey Robert is an individual health care provider with primary practice located at 11 Medical Park Dr Ste 206, Pomona NY 10970-3559. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Horowitz, Jeffrey Robert can be contacted via phone (845) 362-0100.

Contact Information

Primary practice address
11 Medical Park Dr Ste 206 Pomona NY 10970-3559
Phone: (845) 362-0100
Fax: (845) 362-0112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N005741 New York
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00269600 New Jersey

Profile Details

NPI number 1457355000
LBN Legal business name Horowitz, Jeffrey Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Mar 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457355000 NPPES
New York MEDICAID 02543608

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