Provider Demographics
NPI:1811901200
Name:HOROWITZ, DAVID MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 BROOKSITE DRIVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787
Mailing Address - Country:US
Mailing Address - Phone:631-724-4048
Mailing Address - Fax:631-780-6899
Practice Address - Street 1:2 BROOKSITE DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3492
Practice Address - Country:US
Practice Address - Phone:631-724-4048
Practice Address - Fax:631-780-6899
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2024-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY142369207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY007735973Medicaid
NY00773597-3Medicaid
96A781Medicare PIN
NY00773597-3Medicaid