Provider Demographics
NPI:1164523155
Name:HOROVITZ, LINDA J (AUD, FAAA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:HOROVITZ
Suffix:
Gender:F
Credentials:AUD, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 HALE ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-2038
Mailing Address - Country:US
Mailing Address - Phone:607-336-9003
Mailing Address - Fax:607-334-2578
Practice Address - Street 1:43 HALE ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-2038
Practice Address - Country:US
Practice Address - Phone:607-336-9003
Practice Address - Fax:607-334-2578
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000612-1231H00000X
NY000612237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01450848Medicaid
NY01450848Medicaid
NY54187BMedicare PIN