Provider Demographics
NPI:1154405173
Name:HOROWITZ, MARC ANDREW (MD)
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:ANDREW
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:14 HARWOOD COURT
Mailing Address - Street 2:SUITE 209
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583
Mailing Address - Country:US
Mailing Address - Phone:914-723-5511
Mailing Address - Fax:914-723-5659
Practice Address - Street 1:14 HARWOOD COURT
Practice Address - Street 2:SUITE 209
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583
Practice Address - Country:US
Practice Address - Phone:914-723-5511
Practice Address - Fax:914-723-5659
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY138509207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00770498Medicaid
NY00770498Medicaid
B80039Medicare UPIN