Adele Horbatiuk
Individual provider Active NPI Specialist · East Moriches, NY
NPI 1851661631 · NPPES record last updated Jan 10, 2012
Key facts
- NPI
- 1851661631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 30 Valley Dr
East Moriches, NY 11940-1403 - Phone
- (631) 878-6464
- Fax
- (631) 878-6464
- NPI assigned
- Jan 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
30 Valley Dr
East Moriches, NY 11940-1403
Mailing address
30 Valley Dr
East Moriches, NY 11940-1403
Other providers in East Moriches, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.