Provider Demographics
NPI:1598753063
Name:HORWITZ, GARY J (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:J
Last Name:HORWITZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:919 WESTFALL RD
Mailing Address - Street 2:SUITE B20
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2638
Mailing Address - Country:US
Mailing Address - Phone:585-473-5705
Mailing Address - Fax:585-473-1205
Practice Address - Street 1:919 WESTFALL RD
Practice Address - Street 2:SUITE B20
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2638
Practice Address - Country:US
Practice Address - Phone:585-473-5705
Practice Address - Fax:585-473-1205
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2018-03-08
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Provider Licenses
StateLicense IDTaxonomies
NY1349632084P0301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0301XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBrain Injury MedicineGroup - Single Specialty