Basic Information
| Provider Information | |||||||||
| NPI: | 1790793560 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HORWITZ | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | ELISA | ||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BERNSTEIN | ||||||||
| OtherFirstName: | KAREN | ||||||||
| OtherMiddleName: | ELISA | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 52 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | BEDFORD HILLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105071814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146662220 | ||||||||
| FaxNumber: | 9146662987 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 N VILLAGE AVE | ||||||||
| Address2: | RADIOLOGY DEPARTMENT | ||||||||
| City: | ROCKVILLE CENTRE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115701000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9525951100 | ||||||||
| FaxNumber: | 6122944903 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2006 | ||||||||
| LastUpdateDate: | 03/24/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 183152 | NY | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | 25MA09014900 | NJ | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.