# IZBICKI FAMILY MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346579331
- **Authorized official:** JONATHON A IZBICKI DO (PRES)
- **Authorized official phone:** (814) 504-6506

## Contact information

- **Practice address:** 3424 PEACH ST, ERIE, PA 16508-2740
- **Practice address phone:** (814) 864-3749
- **Practice address fax:** (814) 864-9757
- **Mailing address:** 717 STATE ST, SUITE 16, LL, ERIE, PA 16501-1341
- **Mailing address phone:** (814) 877-7100
- **Mailing address fax:** (814) 877-2939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/22/2009
- **Last updated:** 03/08/2010