Provider Demographics
NPI:1740274828
Name:HOROVITZ, JOEL H (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:H
Last Name:HOROVITZ
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 1:4802 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2844
Mailing Address - Country:US
Mailing Address - Phone:718-283-8461
Mailing Address - Fax:718-283-8909
Practice Address - Street 1:948 48TH ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2918
Practice Address - Country:US
Practice Address - Phone:718-283-8461
Practice Address - Fax:718-283-8909
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2014-02-21
Deactivation Date:2006-03-31
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
NY128391174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
602351OtherAETNA - HMO
TAX IDOtherMEDICHOICE
0094355-BOtherGHI
YESOtherELDERPLAN
NY00246608Medicaid
128391-A15OtherHEALTHFIRST
70D20OtherBLUE CROSS BLUE SHEILD
70D201OtherBLUECHOICE
MD543OtherHEALTHNET
YESOtherCBB
TAX IDOther32BJ BUILD SVS
YESOtherFIRST HEALTH
010128391NYOtherANTHEM
YESOtherHIP
5404046OtherAETNA - PPO
344780101OtherHEALTHPLUS
830Y03OtherCIGNA HMO ONLY
YESOtherGENERAL AMERICAN LIFE
NY70D201Medicare ID - Type Unspecified
YESOtherGENERAL AMERICAN LIFE