Individual
JACK W HORNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CROSFIELD AVE, SUITE 318, WEST NYACK, NY 10994-2226
(845) 353-5600
(845) 353-5668
Mailing address
20 GRAND ST, 3RD FLOOR, WARWICK, NY 10990-1035
(845) 987-3906
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
206369
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2063691
NY
207RP1001X
Pulmonary Disease Physician
Primary
2063691
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
206369
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053968
GHI HMO
—
05
—
02155053
—
NY
01
—
0D2071
HEALTHNET OF THE NORTHEAS
—
01
—
132995599
CIGNA PPO
—
01
—
132995699
HEATLH NOW
—
01
—
1C4591
BCBS EMPIRE
—
01
—
2522147
AETNA USHC
—
01
—
2596421
GHI ALL PLANS EXCEPT HMO
—
01
—
33353P
HIP
—
01
—
7588161
AETNA
—
Enumeration date
09/13/2005
Last updated
05/17/2016
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