1972661155 NPI number — STUART HOROWITZ DO

Table of content: CRAIG BABIARZ C.R.N.A. (NPI 1235114307)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972661155 NPI number — STUART HOROWITZ DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOROWITZ
Provider First Name:
STUART
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972661155
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
99 GRAND AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MASSAPEQUA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11758-1203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-541-9700
Provider Business Mailing Address Fax Number:
516-798-1086

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
99 GRAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MASSAPEQUA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11758-1203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-541-9700
Provider Business Practice Location Address Fax Number:
516-798-1086
Provider Enumeration Date:
12/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  134589 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 134589A73 . This is a "HEALTH FIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5066 . This is a "VYTRA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5431A1 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4121374 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: AP024 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5596318 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: AA00617B . This is a "MDNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 201285536 . This is a "EMPIRE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 201285536 . This is a "LOCAL 1199" identifier . This identifiers is of the category "OTHER".
  • Identifier: 201285536 . This is a "MULTI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4C1580 . This is a "PHS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0H380P . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 201285536 . This is a "HORIZON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 315206 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 201285536 . This is a "MAGACARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 500563012 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 201285536 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3C7540 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".




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