Provider Demographics
NPI:1811168867
Name:HURWITZ, WILLIAM
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:HURWITZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 FIFTH AVENUE
Mailing Address - Street 2:1862
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10111
Mailing Address - Country:US
Mailing Address - Phone:212-246-3511
Mailing Address - Fax:212-757-6077
Practice Address - Street 1:630 FIFTH AVENUE
Practice Address - Street 2:1862
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10111
Practice Address - Country:US
Practice Address - Phone:212-246-3511
Practice Address - Fax:212-757-6077
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0261891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice