Individual
DR. THOMAS A BIZZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9116 158TH AVE, HOWARD BEACH, NY 11414-3126
(718) 738-7732
(718) 835-3166
Mailing address
9116 158TH AVE, HOWARD BEACH, NY 11414-3126
(718) 738-7732
(718) 835-3166
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
137491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00597764
—
NY
01
—
4338613
AETNA
—
01
—
53A361
BS
—
Enumeration date
10/06/2005
Last updated
02/15/2012
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