Provider Demographics
NPI:1699928879
Name:NEW HORIZONS MEDICAL SERVICES,PC
Entity type:Organization
Organization Name:NEW HORIZONS MEDICAL SERVICES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:H
Authorized Official - Last Name:THELUSMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-972-9712
Mailing Address - Street 1:4801 FORT HAMILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2937
Mailing Address - Country:US
Mailing Address - Phone:718-972-9712
Mailing Address - Fax:718-972-9714
Practice Address - Street 1:4801 FORT HAMILTON PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2937
Practice Address - Country:US
Practice Address - Phone:718-972-9712
Practice Address - Fax:718-972-9714
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW HORIZONS MEDICAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-31
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199382174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty