Provider Demographics
NPI:1689840696
Name:HOROWITZ, DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 EXECUTIVE BLVD OFC 307
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4166
Mailing Address - Country:US
Mailing Address - Phone:845-533-4060
Mailing Address - Fax:845-357-4077
Practice Address - Street 1:2 EXECUTIVE BLVD OFC 307
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4166
Practice Address - Country:US
Practice Address - Phone:845-533-4060
Practice Address - Fax:845-357-4077
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024766-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice