Horowitz, Gary R

Horowitz, Gary R is an individual health care provider with primary practice located at 5401 Old York Rd Suite 300, Philadelphia PA 19141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Horowitz, Gary R can be contacted via phone (215) 456-7190.

Contact Information

Primary practice address
5401 Old York Rd Suite 300 Philadelphia PA 19141
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X OS002910L Pennsylvania

Profile Details

NPI number 1417925017
LBN Legal business name Horowitz, Gary R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Oct 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417925017 NPPES
Pennsylvania MEDICAID 0006889700002

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