Provider Demographics
NPI:1124175906
Name:HOROWITZ, LOIS C (PHD, MSW)
Entity type:Individual
Prefix:DR
First Name:LOIS
Middle Name:C
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 BALMVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1978
Mailing Address - Country:US
Mailing Address - Phone:917-647-7469
Mailing Address - Fax:845-569-7997
Practice Address - Street 1:80 BALMVILLE RD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1978
Practice Address - Country:US
Practice Address - Phone:212-366-4468
Practice Address - Fax:212-366-4468
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO22822-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical