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Individual
JOSEPH IZZO
Active
Individual
JOSEPH IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
137089
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010197401
EXCELLUS UNIVERA
NY
01
—
000511113002
HEALTH NOW
NY
05
—
00481989
—
NY
01
—
2507726
INDEPENDENT HEALTH
NY
Enumeration date
09/25/2006
Last updated
11/22/2011
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