Provider Demographics
NPI:1316238801
Name:HOROWITZ, ARIELLA (RD, CDN)
Entity type:Individual
Prefix:
First Name:ARIELLA
Middle Name:
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14412 69TH RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1702
Mailing Address - Country:US
Mailing Address - Phone:718-614-2145
Mailing Address - Fax:718-658-6909
Practice Address - Street 1:14412 69TH RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1702
Practice Address - Country:US
Practice Address - Phone:718-614-2145
Practice Address - Fax:718-658-6909
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7077133N00000X
NY1013487133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist