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Individual

MARK HOROWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167
Mailing address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
172766
NY
2088P0231X
Pediatric Urology Physician
172766
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01562707
NY
Enumeration date
09/14/2005
Last updated
07/30/2015
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