Provider Demographics
NPI:1548302060
Name:HORN, JANET (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:HORN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80-15 164TH STREET
Mailing Address - Street 2:HILLCREST RADIOLOGY ASSOCIATES, P.C.
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432
Mailing Address - Country:US
Mailing Address - Phone:718-380-6010
Mailing Address - Fax:718-969-8108
Practice Address - Street 1:80-15 164TH STREET
Practice Address - Street 2:HILLCREST RADIOLOGY ASSOCIATES, P.C.
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:718-380-6010
Practice Address - Fax:718-969-8108
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1897372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG48214Medicare UPIN