Individual
DR. GINA LEIBOLD HOROWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
160-A ROUTE 110, HUNTINGTON STATION, NY 11746
(631) 351-5355
Mailing address
123 MIDWAY STREET, BABYLON, NY 11702
(631) 661-5730
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005558
NY
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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