Provider Demographics
NPI:1285923813
Name:HORNG, SAM (MD)
Entity type:Individual
Prefix:
First Name:SAM
Middle Name:
Last Name:HORNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 E 98TH ST
Mailing Address - Street 2:SUITE 1138
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6501
Mailing Address - Country:US
Mailing Address - Phone:212-241-6854
Mailing Address - Fax:212-241-5333
Practice Address - Street 1:5 E 98TH ST
Practice Address - Street 2:SUITE 1138
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-241-6854
Practice Address - Fax:212-241-5333
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2723192084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty