Provider Demographics
NPI:1447460845
Name:HORIZON HEALTHCARE STAFFING CORP
Entity type:Organization
Organization Name:HORIZON HEALTHCARE STAFFING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLOWICH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:516-326-2020
Mailing Address - Street 1:20 JERUSALEM AVE
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-4980
Mailing Address - Country:US
Mailing Address - Phone:516-326-2020
Mailing Address - Fax:516-616-0517
Practice Address - Street 1:20 JERUSALEM AVE
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4980
Practice Address - Country:US
Practice Address - Phone:516-326-2020
Practice Address - Fax:516-616-0517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY449676-1163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Single Specialty