Individual
NICOLE ILONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3288
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
301122
NY
Other
Enumeration date
04/07/2014
Last updated
11/21/2023
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