Individual
GENEVIEVE NICOLE IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
411 W 114TH ST, NEW YORK, NY 10025-1710
(212) 235-3067
Mailing address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-3067
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023800
NY
Other
Enumeration date
07/15/2020
Last updated
06/11/2021
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