Provider Demographics
NPI:1407901986
Name:HOROWITZ, DAVID (AUD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7020 108TH ST
Mailing Address - Street 2:APT 15H
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4449
Mailing Address - Country:US
Mailing Address - Phone:347-306-5059
Mailing Address - Fax:
Practice Address - Street 1:DEPT VETERAN AFFAIRS, 423 E. 23RD ST
Practice Address - Street 2:
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:718-541-1580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002083231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist