Provider Demographics
NPI:1295060762
Name:HOROWITZ, CAROLE S (DMD)
Entity type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:S
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 HEMPSTEAD AVENUE
Mailing Address - Street 2:SUITE K
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563
Mailing Address - Country:US
Mailing Address - Phone:516-593-9228
Mailing Address - Fax:516-593-2603
Practice Address - Street 1:50 HEMPSTEAD AVENUE
Practice Address - Street 2:SUITE K
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563
Practice Address - Country:US
Practice Address - Phone:516-593-9228
Practice Address - Fax:516-593-2603
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040523-1(N.Y.)122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist