Provider Demographics
NPI:1356502652
Name:HOROWITZ, JARED CRAIG
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:CRAIG
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 COMMUNITY DR
Mailing Address - Street 2:APARTMENT 4N
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3838
Mailing Address - Country:US
Mailing Address - Phone:917-583-0422
Mailing Address - Fax:212-434-4695
Practice Address - Street 1:306 COMMUNITY DR
Practice Address - Street 2:APARTMENT 4N
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3838
Practice Address - Country:US
Practice Address - Phone:917-583-0422
Practice Address - Fax:212-434-4695
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker