Provider Demographics
NPI:1669567459
Name:HORVATH, ANTHONY S (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:S
Last Name:HORVATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 LORD AVE
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-2206
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:70 LORD AVE
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:NY
Practice Address - Zip Code:11096-2206
Practice Address - Country:US
Practice Address - Phone:516-239-1823
Practice Address - Fax:516-371-6220
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129-404207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00332274Medicaid
NY00332274Medicaid
NY336601Medicare PIN
NY6514VTMedicare PIN