Provider Demographics
NPI:1720378094
Name:HOROWITZ, GERALD (MSW)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 WESTMINSTER RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-1440
Mailing Address - Country:US
Mailing Address - Phone:516-536-1862
Mailing Address - Fax:
Practice Address - Street 1:459 WESTMINSTER RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-1440
Practice Address - Country:US
Practice Address - Phone:516-536-1862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0154061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical