Individual
LESLIE ICZKOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1350 ALA MOANA BLVD, SUITE 2304, HONOLULU, HI 96814-4215
(808) 523-8449
(808) 356-0832
Mailing address
1350 ALA MOANA BLVD, SUITE 2304, HONOLULU, HI 96814-4215
(808) 523-8449
(808) 356-0832
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MAT 12054
HI
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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