Individual
NICHOLAS IZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
66 VAN CORTLANDT PARK S, BRONX, NY 10463-3102
(718) 519-2800
Mailing address
197 ELWOOD AVE, HAWTHORNE, NY 10532-2347
(914) 708-8790
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011335-01
NY
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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