Provider Demographics
NPI:1528027117
Name:HORNSTEIN, ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:HORNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:972 ROUTE 45
Mailing Address - Street 2:STE 203
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3566
Mailing Address - Country:US
Mailing Address - Phone:845-354-6050
Mailing Address - Fax:845-638-2471
Practice Address - Street 1:972 ROUTE 45
Practice Address - Street 2:STE 203
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3566
Practice Address - Country:US
Practice Address - Phone:845-354-6050
Practice Address - Fax:845-638-2471
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1187832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY300361Medicare ID - Type Unspecified
NYB12566Medicare UPIN