Provider Demographics
NPI:1316283740
Name:HOROWITZ, YAEL LEAH (NP)
Entity type:Individual
Prefix:MRS
First Name:YAEL
Middle Name:LEAH
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 FORDHAM LN
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1015
Mailing Address - Country:US
Mailing Address - Phone:646-436-4043
Mailing Address - Fax:
Practice Address - Street 1:1111 FORDHAM LN
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1015
Practice Address - Country:US
Practice Address - Phone:646-436-4043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337424-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily