Individual
ISRAEL HIZAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
128F CLINTWOOD CT, ROCHESTER, NY 14620-3549
(646) 208-3120
Mailing address
128F CLINTWOOD CT, ROCHESTER, NY 14620-3549
(646) 208-3120
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021228
NY
Other
Enumeration date
10/03/2007
Last updated
04/10/2012
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