Provider Demographics
NPI:1184124554
Name:HOROWITZ, ALLISON S
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:S
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 BROADWAY APT 513
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-4967
Mailing Address - Country:US
Mailing Address - Phone:917-846-1901
Mailing Address - Fax:
Practice Address - Street 1:1215 BROADWAY APT 513
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-4967
Practice Address - Country:US
Practice Address - Phone:917-846-1901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor