Provider Demographics
NPI:1477670024
Name:HORNING, DONALD (LMT)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:HORNING
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 W PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-1535
Mailing Address - Country:US
Mailing Address - Phone:516-777-2020
Mailing Address - Fax:
Practice Address - Street 1:81 CONKLIN ST
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-2502
Practice Address - Country:US
Practice Address - Phone:516-777-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist