| Jeffrey S Horowitz, MD | |
|
10 Ronald Reagan Blvd, Warwick, NY 10990-4104 | |
| (845) 986-2058 | |
| (845) 986-7669 |
| Full Name | Jeffrey S Horowitz |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 10 Ronald Reagan Blvd, Warwick, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558469437 | NPI | - | NPPES |
| 00836035 | Medicaid | NY | |
| 0393100 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 157781-1 (New York) | Primary |
| 208000000X | Pediatrics | 25MA06670800 (New Jersey) | Secondary |
| Entity Name | Boston Children's Health Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey S Horowitz, MD 10 Ronald Reagan Blvd, Warwick, NY 10990-4104 Ph: (845) 986-2058 | Jeffrey S Horowitz, MD 10 Ronald Reagan Blvd, Warwick, NY 10990-4104 Ph: (845) 986-2058 |
Mrs. Kamalam Nandakumar Menon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Maple Ave, Warwick, NY 10990 Phone: 845-986-9979 Fax: 845-986-9764 | |
Melanie M Goth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Ronald Reagan Blvd, Warwick, NY 10990 Phone: 845-986-2058 Fax: 845-986-7669 | |
Mark L Horowitz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Ronald Reagan Blvd, Warwick, NY 10990 Phone: 845-986-2058 Fax: 845-986-7669 | |
Luciano V Barone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Ronald Reagan Blvd, Warwick, NY 10990 Phone: 845-986-2058 Fax: 845-986-7669 | |
Dominic Berlingieri, Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Saint Stephens Ln, Suite 3, Warwick, NY 10990 Phone: 845-987-7800 Fax: 845-987-7811 |