Provider Demographics
NPI:1376806877
Name:HORN, DEENA BLAIR (DPM)
Entity Type:Individual
Prefix:DR
First Name:DEENA
Middle Name:BLAIR
Last Name:HORN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST # STARR 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:646-962-8450
Mailing Address - Fax:646-962-0323
Practice Address - Street 1:525 E. 68TH STREET
Practice Address - Street 2:STARR 8
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:646-962-8450
Practice Address - Fax:646-962-0323
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006737-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery