Individual
MR. FREDERICK IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 NASSAU RD, HUNTINGTON, NY 11743-3526
(631) 423-5590
Mailing address
200 PIPING ROCK RD, LOCUST VALLEY, NY 11560-2509
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006299
NY
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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